FORM 1023-EZ for CONCERNED CITIZENS OF CEDARTOWN

Field Data
EIN 81-4599122
Case Number EO-2016343-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCERNED CITIZENS OF CEDARTOWN
Organization’s Mailing Address 616 ROBERT L PARKS BLVD
City CEDARTOWN
State GA
ZIP 30125
Accounting period End 12
Primary contact name ANTHONY DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY DAVIS
CEO
616 ROBERT L PARKS BLVD
CEDARTOWN GA 30125

Officer/Director/Trustee Two

MICHAEL CHIVERS
CFO
752 SIXTH ST
CEDARTOWN GA 30125

Officer/Director/Trustee Three

ELIZABETH KINNEBREW
SECRETARY
752 SIXTH ST
CEDARTOWN GA 30125

Organization’s website
Organization’s email BUSINESSONE598@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
One Third Support Gifts Yes
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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