FORM 1023-EZ for ALTERNATIVE DIRECTIONS FAMILY CAREINCORPORATED

Field Data
EIN 85-2565925
Case Number EO-2020232-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALTERNATIVE DIRECTIONS FAMILY CAREINCORPORATED
Organization’s Mailing Address 6186 CROOKED CREEK DRIVE
City REX
State GA
ZIP 30273
Accounting period End 12
Primary contact name THOMAS MATHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MATHEWS
CEO
6186 CROOKED CREEK DRIVE
REX GA 30273

Officer/Director/Trustee Two

JODY JACKSON
CFO
6186 CROOKED CREEK DRIVE
REX GA 30273

Officer/Director/Trustee Three

HANS LANG
SECRETARY
6186 CROOKED CREEK DRIVE
REX GA 30273

Organization’s website
Organization’s email TMATHEWS47@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name THOMAS MATHEWS
Signature Title CEO
Signature Date 8/17/2020

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