| Field | Data |
|---|---|
| EIN | 85-1359714 |
| Case Number | EO-2021093-000194 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GENESIS HOUSE INTERNATIONAL INC |
| Organization’s Mailing Address | 314 HARDAWAY STREET |
| City | THOMASVILLE |
| State | GA |
| ZIP | 31792 |
| Accounting period End | 12 |
| Primary contact name | JACQUELINE D KNIGHT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JACQUELINE KNIGHT
BOARD CHAIRMAN
314 HARDAWAY STREET
THOMASVILLE GA 31792
ADRIAN BURNS
VICE CHAIRMAN
431 MYRTLE DRIVE
THOMASVILLE GA 31792
ANDREA COLLINS
SECRETARY
401 S BROAD STREET
THOMASVILLE GA 31792
SHELLEY ZORN
TREASURER
15386 US HIGHWAY 319 NORTH
THOMASVILLE GA 31757-2119
CHRIS GOFF
BOARD MEMBER
1815 EAST CLAY STREET
THOMASVILLE GA 31692
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/15/2017 |
| 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: 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 | 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JACQUELINE KNIGHT |
| Signature Title | BOARD CHAIRMAN |
| Signature Date | 2/27/2021 |
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