FORM 1023-EZ for BROAD RIVER ACADEMY FOUNDATION INC

Field Data
EIN 47-2253013
Case Number EO-2014318-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROAD RIVER ACADEMY FOUNDATION INC
Organization’s Mailing Address 600 MADISON STREET
City DANIELSVILLE
State GA
ZIP 30633-7030
Accounting period End 12
Primary contact name PAUL BOYKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL BOYKIN
CHIEF EXECUTIVE OFFICER
600 MADISON STREET
DANIELSVILLE GA 30633-7030

Officer/Director/Trustee Two

JEAN MULLIS
DIRECTOR
PO BOX 85
HULL GA 30646-0085

Officer/Director/Trustee Three

MARVIN WHITE
DIRECTOR
PO BOX 381
DANIELSVILLE GA 30633-0381

Officer/Director/Trustee Four

CLAY TALTON
DIRECTOR
199 BRICKYARD ROAD
COMER GA 30629-3234

Officer/Director/Trustee Five

LEANNA ELROD
DIRECTOR
PO BOX 2087
CLAYTON GA 30525-0053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 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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