FORM 1023-EZ for PFLAG OF JOHNS CREEK

Field Data
EIN 45-4335982
Case Number EO-2017052-000485
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PFLAG OF JOHNS CREEK
Organization’s Mailing Address 6107 MALLOWAY CT
City CUMMING
State GA
ZIP 30041
Accounting period End 9
Primary contact name JIM WATTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN MILLER
PRESIDENT
5785 MILLWICK DRIVE
ALPHARETTA GA 30005

Officer/Director/Trustee Two

JIM WATTS
TREASURER
5025 OAKMONT BEND DR
ALPHARETTA GA 30004

Officer/Director/Trustee Three

MARLIYN MESSERLY
SECRETARY
6107 MALLOWAY CT
CUMMING GA 30041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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