FORM 1023-EZ for SAINT ANNS MISSION

Field Data
EIN 84-3797341
Case Number EO-2019333-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAINT ANNS MISSION
Organization’s Mailing Address 934 GLENWOOD AVE
City ATLANTA
State GA
ZIP 30316
Accounting period End 12
Primary contact name BARREN WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARREN WATSON
PRESIDENT
SUITE 130
ATLANTA GA 30316

Officer/Director/Trustee Two

AYANA BISHOP
TREASURER
934 GLENWOOD AVE SUITE 130
ATLANTA GA 30316

Officer/Director/Trustee Three

CLAIRE BISHOP
VICE PRESIDENT
285 CENTENNIAL PL
ATLANTA GA 30313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BARREN WATSON
Signature Title PRESIDENT
Signature Date 11/26/19

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