| Field | Data |
|---|---|
| EIN | 86-3650090 |
| Case Number | EO-2021140-000339 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AUTUMN PLACE PERSONAL CARE HOME193 |
| Organization’s Mailing Address | 193 PARKVIEW PLACE DR |
| City | MCDONOUGH |
| State | GA |
| ZIP | 30253 |
| Accounting period End | 12 |
| Primary contact name | TRINA GARCIA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TRINA GARCIA
CHAIRMAN CEO
193 PARKVIEW PL
MCDONOUGH GA 30253
ELLA MILLER
VICE CHAIRMAN COO
1084 LEHAVRE CT
HAMPTON GA 30228
APRIL MATTHEWS
SECY TREAS
401 ASHLEY TRAIL
GRIFFIN GA 30224
TIARA COLQUITT
MEMBER
1010 BECK ST H
GRIFFIN GA 30224
TOMEKA TURNER
MEMBER
1960 BROWNING BEND CT
DACULA GA 30724
| Organization’s website | |
|---|---|
| Organization’s email | PERSONALTOUCHAL18@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/12/2021 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P73 - Group Home (Long Term) |
| 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 | 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 | TRINA GARCIA |
| Signature Title | CHAIRMAN CEO |
| Signature Date | 5/13/2021 |
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