FORM 1023-EZ for THE GREENROCK FOUNDATION

Field Data
EIN 82-3121994
Case Number EO-2017293-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GREENROCK FOUNDATION
Organization’s Mailing Address 675 PONCE DE LEON AVE NE SUITE 850
City ATLANTA
State GA
ZIP 30308-1884
Accounting period End 12
Primary contact name JAY SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY SCOTT
PRESIDENT
675 PONCE DE LEON AVE
ATLANTA GA 30308-1884

Officer/Director/Trustee Two

RON BIVINS
SECRETARY
4177 RAINBOW DRIVE
DECATUR GA 30034-2224

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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
Signature Title
Signature Date

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