FORM 1023-EZ for LYDIAS PLACE INC

Field Data
EIN 82-2086532
Case Number EO-2017272-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LYDIAS PLACE INC
Organization’s Mailing Address 1531 CHOICE JOHNSON ROAD
City STATHAM
State GA
ZIP 30666
Accounting period End 12
Primary contact name WADE SCHUENEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL FARLOW
PRESIDENT
1531 CHOICE JOHNSON ROAD
STATHAM GA 30666

Officer/Director/Trustee Two

HEATHER WATSON
SECRETARY
2202 VALLEY SHOALS LANE
BISHOP GA 30621

Officer/Director/Trustee Three

DIANE BRANTLEY
TREASURER
3649 TOWNSIDE DRIVE
BISHOP GA 30621

Officer/Director/Trustee Four

RICHARD BOONE
DIRECTOR
430 RIVERBOTTOM ROAD
ATHENS GA 30606

Officer/Director/Trustee Five

TERRI JONES
DIRECTOR
145 MEREDITH RIDGE ROAD
ATHENS GA 30605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
One Third Support Gifts No
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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