FORM 1023-EZ for BOSLEYS PLACE INC

Field Data
EIN 47-2484218
Case Number EO-2015030-000593
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOSLEYS PLACE INC
Organization’s Mailing Address 33 ARPEGE WAY
City ATLANTA
State GA
ZIP 30327-1020
Accounting period End 12
Primary contact name JENNIFER SIEGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER SIEGEL
CHAIRMAN/DIRECTOR
33 ARPEGE WAY
ATLANTA GA 30327-1020

Officer/Director/Trustee Two

PHIL SIEGEL
DIRECTOR
126 BLUE HERON BLUFF
DAWSONVILLE GA 30534

Officer/Director/Trustee Three

SEAN JACKSON
DIRECTOR
4355 COBB PARKWAY SUITE J-144
ATLANTA GA 30339

Officer/Director/Trustee Four

JEFFREY LIBBY
DIRECTOR
765 CALWOOD CHASE
ROSWELL GA 30075

Organization’s website WWW.BOSLEYSPLACE.COM
Organization’s email BOSLEY@BOSLEYSPLACE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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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