FORM 1023-EZ for THE HEALING PLACE FOR CHANGE
| Field | Data |
|---|---|
| EIN | 81-3794847 |
| Case Number | EO-2016306-000134 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE HEALING PLACE FOR CHANGE |
| Organization’s Mailing Address | 1827 POWERS FERRY ROAD SE 14-250 |
| City | ATLANTA |
| State | GA |
| ZIP | 30339 |
| Accounting period End | 12 |
| Primary contact name | DR RYAN DAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RYAN DAY
FOUNDER CEO
PO BOX 723334
ATLANTA GA 31139
Officer/Director/Trustee Two
MOSETTA WEEFUR
OFFICE ADMINISTRATOR CFO
2300 COUNTRY WALK APT1124
SNELLVILLE GA 30039
Officer/Director/Trustee Three
PAUL SCOTT
CHAIRPERSON
6750 PALACE LANE
FAIRBURN GA 30213
Officer/Director/Trustee Four
DEMARCUS PREYER
BOARD MEMBER
7024 GLEN VALLEY WAY
FAIRBURN GA 30213
Officer/Director/Trustee Five
MAURICE BAXTER
BOARD MEMBER
1519 SULTAN LANE
RIVERDALE GA 30296
| Organization’s website | WWW.HEALINGPLACE4CHANGE.ORG |
|---|---|
| Organization’s email | HEALINGPLACE4CHANGE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/10/2016 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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