FORM 1023-EZ for PREVENT CHILD ABUSE BULLOCH COUNTY

Field Data
EIN 58-1810745
Case Number EO-2020051-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREVENT CHILD ABUSE BULLOCH COUNTY
Organization’s Mailing Address 515 DENMARK STREET SUITE 600
City STATESBORO
State GA
ZIP 30458
Accounting period End 12
Primary contact name LORA COOPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH CARLISLE BEASLEY
BOARD PRESIDENT
3500 FT MCALLISTER ROAD
RICHMOND HILL GA 31324

Officer/Director/Trustee Two

KAREN LAMBIE
BOARD MEMBER
230 CIRCLE DRIVE
STATESBORO GA 30461

Officer/Director/Trustee Three

SHARON WILKINS
BOARD MEMBER
5009 SCOTCH PINE AVE
STATESBORO GA 30458

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/1988
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ELIZABETH CARLISLE BEASLEY
Signature Title BOARD PRESIDENT
Signature Date 2/18/2020

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