FORM 1023-EZ for GOLDEN RULE SENIOR SUPPORT SERVICESINCORPORATED

Field Data
EIN 81-5339957
Case Number EO-2017065-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLDEN RULE SENIOR SUPPORT SERVICESINCORPORATED
Organization’s Mailing Address 115 BLUE RIDGE TRAIL
City POWDER SPRINGS
State GA
ZIP 30127-6899
Accounting period End 12
Primary contact name LARITA HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARITA HARRIS
EXECUTIVE DIRECTOR
115 BLUE RIDGE TRAIL
POWDER SPRINGS GA 30127-6899

Officer/Director/Trustee Two

MARIA BATTLE
SECRETARY
115 BLUE RIDGE TRAIL
POWDER SPRINGS GA 30127-6899

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Donation of funds Yes
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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