FORM 1023-EZ for JACK HENRY USER GROUP SOUTHERN
| Field | Data |
|---|---|
| EIN | 77-0692572 |
| Case Number | EO-2017055-000666 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JACK HENRY USER GROUP SOUTHERN |
| Organization’s Mailing Address | 1385 MAIN ST - C/O ONE SOUTH BANK |
| City | CHIPLEY |
| State | FL |
| ZIP | 32428 |
| Accounting period End | 12 |
| Primary contact name | ANDY FLOWERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANDY FLOWERS
PRESIDENT
4001 RUSSELL PARKWAY
WARNER ROBINS GA 31088
Officer/Director/Trustee Two
KRISTIN HARVILLE
VICE PRESIDENT
615 QUINTARD AVENUE
ANNISTON AL 36201
Officer/Director/Trustee Three
KATHY LEIBOLD
TREASURER
1385 MAIN STREET
CHIPLEY FL 32428
Officer/Director/Trustee Four
CINDY HILL
SECRETARY
141 S WAYNE STREET
MILLEDGEVILLE GA 31061
| Organization’s website | WWW.JHUGS.NET |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/25/2007 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B02 - Management & Technical Assistance |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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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