FORM 1023-EZ for REGIONS HEALTH LITERACY GROUP

Field Data
EIN 83-1914784
Case Number EO-2018274-000490
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REGIONS HEALTH LITERACY GROUP
Organization’s Mailing Address 285 OAKLAND HILLS WAY
City LAWRENCEVILLE
State GA
ZIP 30044-6824
Accounting period End 12
Primary contact name KANDI GIVNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KANDI GIVNER
PRESIDENT
285 OAKLAND HILLS WAY
LAWRENCEVILLE GA 30044-6824

Officer/Director/Trustee Two

DANIELLE KNOTTS
VICE PRESIDENT
2869 CARDINAL TRACE
DULUTH GA 30096-3997

Officer/Director/Trustee Three

JAMES WILSON
BOARD OF DIRECTOR
100 FISHER PARK CIRCLE
GREENSBORO NC 27401-1504

Officer/Director/Trustee Four

SIRENA GANDY
BOARD OF DIRECTOR
2521 PIEDMONT RD APT 2026
ATLANTA GA 30324-6263

Officer/Director/Trustee Five

KECIA THOMAS
BOARD OF DIRECTOR
378 ROUTE 518 APT 2F
SKILLMAN NJ 8558-2256

Organization’s website WWW.REGIONSHEALTHLG.COM
Organization’s email KGIVNER@REGIONSHEALTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 KANDI GIVNER
Signature Title PRESIDENT
Signature Date 9/29/18

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