FORM 1023-EZ for GEORGIA ALLIANCE FOR HEALTH LITERACY INC

Field Data
EIN 46-4142868
Case Number EO-2014295-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GEORGIA ALLIANCE FOR HEALTH LITERACY INC
Organization’s Mailing Address 330 PONCE DE LEON PLACE
City DECATUR
State GA
ZIP 30030-5122
Accounting period End 12
Primary contact name DR DONALD RUBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD RUBIN
CHAIR BD OF DIRECTORS
330 PONCE DE LEON PLACE
DECATUR GA 30030-5122

Officer/Director/Trustee Two

RYAN DEAL
VICE CHAIR BD OF DIRECTORS
318 GEORGIA AVENUE SE
ATLANTA GA 30312

Officer/Director/Trustee Three

ANN CONNOR
SECRETARY BD OF DIRECTORS
119 OLYMPIC PLACE
DECATUR GA 30030

Officer/Director/Trustee Four

IRIS FEINBERG
TREASURER BD OF DIRECTORS
55 LAFAYETTE
ATLANTA GA 30309

Officer/Director/Trustee Five

KARA TARANTINO
DIRECTOR
PO BOX 88038
ATLANTA GA 30356-8038

Organization’s website WWW.GAHEALTHLITERACY.ORG
Organization’s email GEORGIAHEALTHLITERACY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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