FORM 1023-EZ for COMMUNITY SUPPORT SERVICES OF GEORGIA
| Field | Data |
|---|---|
| EIN | 82-2593200 |
| Case Number | EO-2021148-000128 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY SUPPORT SERVICES OF GEORGIA |
| Organization’s Mailing Address | 5026 SNAPFINGER WOODS DRIVE DECATUR |
| City | DECATUR |
| State | GA |
| ZIP | 30035 |
| Accounting period End | 12 |
| Primary contact name | ORITA SEMPLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ORITA SEMPLE
CEO
1115 LESLIE PL
LITHONIA GA 30058
| Organization’s website | WWW.SEMPLESPATH.ORG |
|---|---|
| Organization’s email | SEMPLESPATH@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/19/2017 |
| 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: 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | ORITA SEMPLE |
| Signature Title | CEO |
| Signature Date | 5/20/2021 |
| EIN | 82-2593200 |
| Case Number | EO-2018141-000332 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY SUPPORT SERVICES OF GEORGIA INC |
| Organization’s Mailing Address | 5761 STRATHMOOR MANOR CIRCLE |
| City | LITHONIA |
| State | GA |
| ZIP | 30058-2619 |
| Accounting period End | 12 |
| Primary contact name | ORITA SEMPLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ORITA SEMPLE
CHAIRMAN
5761 STRATHMOOR MANOR CIRCLE
LITHONIA GA 30058-2619
Officer/Director/Trustee Two
TAMEKA GREEN
SECRETARY
1301 HOFFMAN LANE NW
ATLANTA GA 30318-4195
Officer/Director/Trustee Three
GEORGIA ROSE
TREASURER
1137 CHRISTIANA CROSSING
LAWRENCEVILLE GA 30043-7029
| Organization’s website | |
|---|---|
| Organization’s email | BEFOREANDAFTERGA@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/19/17 |
| 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: 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 | 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 | ORITA SEMPLE |
| Signature Title | CHAIRMAN |
| Signature Date | 5/17/18 |
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