FORM 1023-EZ for BIG CANOE WELLNESS COLLABORATIVE INC

Field Data
EIN 47-1453641
Case Number EO-2014245-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BIG CANOE WELLNESS COLLABORATIVE INC
Organization’s Mailing Address 171 FOOTHILLS PARKWAY - SUITE 109
City MARBLE HILL
State GA
ZIP 30148
Accounting period End 12
Primary contact name JOHN C SAWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE BRAZEN
DIRECTOR / PRESIDENT
171 FOOTHILLS PARKWAY SUITE 109
MARBLE HILL GA 30148

Officer/Director/Trustee Two

ARTHUR REYNOLDS
TREASURER
171 FOOTHILLS PARKWAY SUITE 109
MARBLE HILL GA 30148

Officer/Director/Trustee Three

RHONDA STOCK
DIRECTOR / VICE PRESIDENT
171 FOOTHILLS PARKWAY SUITE 109
MARBLE HILL GA 30148

Officer/Director/Trustee Four

PHIL YEAKEL
DIRECTOR / SECRETARY
171 FOOTHILLS PARKWAY SUITE 109
MARBLE HILL GA 30148

Officer/Director/Trustee Five

LAMAR HELMS
DIRECTOR
171 FOOTHILLS PARKWAY SUIE 109
MARBLE HILL GA 30148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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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