FORM 1023-EZ for REMIS PLACE INC

Field Data
EIN 46-4695439
Case Number EO-2016102-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REMIS PLACE INC
Organization’s Mailing Address 1901 KRATHA DRIVE
City AUGUSTA
State GA
ZIP 30906
Accounting period End 12
Primary contact name RHONDA SAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RHONDA SAMS
PRESIDENT/CEO/DIRECTOR
3544 REDD DRIVE
AUGUSTA GA 30906

Officer/Director/Trustee Two

VALERIE NORWOOD
ASST DIRECTOR
1239 ROY ROAD
AUGUSTA GA 30909

Officer/Director/Trustee Three

CARONETA WILLIAMS
SECRETARY
3125 COLLIER ROAD
AUGUSTA GA 30907

Officer/Director/Trustee Four

LORIS GREEN
VICE PRESIDENT
4827 APPLE COURT
AUGUSTA GA 30909

Officer/Director/Trustee Five

SHIRLEY ORANGE
TREASURER
1230 SUMMER STREET
AUGUSTA GA 30901

Organization’s website
Organization’s email 1REMISPLACE@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 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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