FORM 1023-EZ for BED OF ROSES HEALTHCARE INC

Field Data
EIN 83-2284489
Case Number EO-2019086-000640
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BED OF ROSES HEALTHCARE INC
Organization’s Mailing Address 3212 AMBER TRAIL
City DULUTH
State GA
ZIP 30096
Accounting period End 12
Primary contact name JULEEN HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULEEN HENRY
PRESIDENT
3212 AMBER TRAIL
DULUTH GA 30096

Officer/Director/Trustee Two

MELLISA BUCHANAN
SECRETARY
8781 HOLLY COURT 104
TAMARAC FL 33321

Officer/Director/Trustee Three

BRITTNEY CAMPBELL
TREASURE
3250 SWEETWATER ROAD NO 215
LAWRENCEVILLE GA 30044

Organization’s website
Organization’s email JULEENH7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 JULEEN HENRY
Signature Title PRESIDENT
Signature Date 3/25/19

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