FORM 1023-EZ for TABITHAS PLACE INC

Field Data
EIN 27-0264601
Case Number EO-2016159-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TABITHAS PLACE INC
Organization’s Mailing Address 247 SOUTH 2ND ST
City JESUP
State GA
ZIP 31545
Accounting period End 12
Primary contact name JANICE PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE PHILLIPS
PRESIDENT, CEO, DIRECTOR
247 SOUTH 2ND ST
JESUP GA 31545

Officer/Director/Trustee Two

CHRISTIE SURRENCY
SECRETARY, DIRECTOR
HYMA POPPELL LOOP
ODUM GA 31555

Officer/Director/Trustee Three

SARAH SEEBRAN
TREASURER, CFO, DIRECTOR
PO BOX 431
JESUP GA 31545

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2009
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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