| Field | Data |
|---|---|
| EIN | 46-5179777 |
| Case Number | EO-2015096-000251 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GRADY LOUISE SENIOR CARE FACILITY INC |
| Organization’s Mailing Address | 3066 HAZELWOOD DR |
| City | ATLANTA |
| State | GA |
| ZIP | 30311 |
| Accounting period End | 12 |
| Primary contact name | FABIOLA JACK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
FABIOLA JACK
PRESIDENT, DIRECTOR
3066 HAZELWOOD DR
ATLANTA GA 30311
GRETCHEN MELVIN
SECRETARY, DIRECTOR
7238 SILVERTON TRAIL
AUSTELL GA 30168
JOHNYETTE SLOAN
TREASURER, DIRECTOR
639 GARDEN WALK BLVD APT 1606
COLLEGE PARK GA 30349
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/3/2014 |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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