FORM 1023-EZ for GERI CARE SERVICES INC

Field Data
EIN 81-4781652
Case Number EO-2017003-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GERI CARE SERVICES INC
Organization’s Mailing Address 10 BURBANK NW
City ATLANTA
State GA
ZIP 30314
Accounting period End 12
Primary contact name REGINA RICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINA RICE
PRESIDENT
10 BURBANK NW
ATLANTA GA 30314

Officer/Director/Trustee Two

ANGELA CATRON
SECRETARY
4644 PARKWAY CIRCLE
ATLANTA GA 30349

Officer/Director/Trustee Three

TYRONE CARPENTER
TREASURER
PO BOX 961224
RIVERDALE GA 30296

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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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