FORM 1023-EZ for GEORGIA SHIFT INC

Field Data
EIN 46-5280771
Case Number EO-2016190-000699
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GEORGIA SHIFT INC
Organization’s Mailing Address PO BOX 14701
City AUGUSTA
State GA
ZIP 30919
Accounting period End 12
Primary contact name LYNN D SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CARR
SECRETARY
1475 NORTH HIGHLAND DRIVE
ATLANTA GA 30306

Officer/Director/Trustee Two

JUDY JONES
BOARD MEMBER
370 OAKLAND PLACE DRIVE
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Three

AMANDA HOLLOWELL
BOARD MEMBER
10611 ABERCORN APT 170
SAVANNAH GA 31419

Officer/Director/Trustee Four

IAN BRIDGEFORTH
EXECUTIVE DIRECTOR
2526 WINTERVILLE DRIVE
AUGUSTA GA 30909

Organization’s website GEORGIASHIFT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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 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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