FORM 1023-EZ for ADULT DAY OF DUNWOODY FOUNDATION INC

Field Data
EIN 47-3177768
Case Number EO-2015061-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADULT DAY OF DUNWOODY FOUNDATION INC
Organization’s Mailing Address 1835 SAVOY DR STE 101B
City ATLANTA
State GA
ZIP 30341
Accounting period End 12
Primary contact name CHRISTOPHER BURDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER BURDS
TREASURER, DIRECTOR
1153 PINE GROVE AVE
ATLANTA GA 30319

Officer/Director/Trustee Two

PRASANT DESAI
PRESIDENT, DIRECTOR
2657 LENOX RD NE STE 210
ATLANTA GA 30324

Officer/Director/Trustee Three

GEORGIA GUNTER
SECRETARY, DIRECTOR
6839 VICAR RD
ATLANTA GA 30360

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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