FORM 1023-EZ for CASE SUPPORT CENTER INC

Field Data
EIN 85-3148682
Case Number EO-2020295-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASE SUPPORT CENTER INC
Organization’s Mailing Address 500 LANIER AVE W SUITE 103B
City FAYETTEVILLE
State GA
ZIP 30214
Accounting period End 12
Primary contact name SHAUN LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAUN LEWIS
CO-EXECUTIVE DIRECTOR
500 WEST LANIER 103B
FAYETTEVILLE GA 30214

Officer/Director/Trustee Two

ELIZABETH LEWIS
CO-EXECUTIVE DIRECTOR
500 WEST LANIER 103B
FAYETTEVILLE GA 30214

Officer/Director/Trustee Three

PRESTON JONES
BOARD CHAIRPERSON
24 AMERICAN WALK
PEACHTREE CITY GA 30269

Officer/Director/Trustee Four

SHANIQUA COVERT
TREASURER
3978 OTTER DAM COURT
ATLANTA GA 30349

Officer/Director/Trustee Five

KEISHA WHITE
SECRETARY
7873 SLATE STONE WAY SE
MABLETON GA 30126

Organization’s website WWW.GETCASESUPPORT.COM
Organization’s email CASESUPPORTCENTER@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 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 SHAUN LEWIS
Signature Title CO-EXECUTIVE DIRECTOR
Signature Date 10/13/2020

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