FORM 1023-EZ for THE FATHERS HEART OF GA INC

Field Data
EIN 47-3791232
Case Number EO-2015309-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE FATHERS HEART OF GA INC
Organization’s Mailing Address 204 LEWISTON RD
City GROVETOWN
State GA
ZIP 30813-4202
Accounting period End 12
Primary contact name JIMMY HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIMMY HARRIS
PRESIDENT
204 LEWISTON RD
GROVETOWN GA 30813-4202

Officer/Director/Trustee Two

WILMOT MATTHEWS
TREASURER
5314 MAGNOLIA LN
EVANS GA 30809

Officer/Director/Trustee Three

BOBBIE LEE
SECRETARY
329 OAK LAKE DR
MARTINEZ GA 30907

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 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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