FORM 1023-EZ for THE SUNSHINE PLACE INC

Field Data
EIN 20-1784550
Case Number EO-2016208-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SUNSHINE PLACE INC
Organization’s Mailing Address 127 ROLLINGWOOD DR
City DUBLIN
State GA
ZIP 31021
Accounting period End 12
Primary contact name DIANE PELHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE PELHAM
CEO
127 ROLLINGWOOD DR
DUBLIN GA 31021

Officer/Director/Trustee Two

WILLIAM PELHAM
DIRECTOR
127 ROLLINGWOOD DR
DUBLIN GA 31021

Officer/Director/Trustee Three

TINA GRIFFIN
SECRETARY
214 WOODS WAY
DUBLIN GA 31021

Officer/Director/Trustee Four

JASMINE HAYES
TREASURER
2084 OAK VALLEY RD
SOPERTON GA 30457

Officer/Director/Trustee Five

VANESSA WHITEHEAD
DIRECTOR
7102 BLAIRS VIEW CT
AUSTELL GA 30168

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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