FORM 1023-EZ for YELLOW TEA ROSE FOUNDATION OF SOUTHGEORGIA INC

Field Data
EIN 83-0798527
Case Number EO-2018171-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YELLOW TEA ROSE FOUNDATION OF SOUTHGEORGIA INC
Organization’s Mailing Address 3338- L1 COUNTRY CLUD ROAD PMB 175
City VALDOSTA
State GA
ZIP 31605
Accounting period End 12
Primary contact name VICTORIA COPELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTORIA COPELAND
PRESIDENT/ DIRECTOR
4221 MEREDITH DRIVE
VALDOSTA GA 31605

Officer/Director/Trustee Two

MARY BARRON
DIRECTOR
920 BUNCHE DRIVE
VALDOSTA GA 31601

Officer/Director/Trustee Three

DANIELLE JOHNSON-TOWNS
DIRECTOR
1650 ANDERSON MILL ROAD 4107
AUSTELL GA 30106

Officer/Director/Trustee Four

MONICA CORNELIUS
DIRECTOR/ SECRETARY
607 BRUSHY CREEK ROAD
SPARKS GA 31647

Officer/Director/Trustee Five

SHARON DANIELS
DIRECTOR/ TREASURER
1145 OGUINN DRIVE
TIFTON GA 31794

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 VICTORIA COPELAND
Signature Title PRESIDENT/ DIRECTOR
Signature Date 6/6/18

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