FORM 1023-EZ for NORTH CENTRAL GEORGIA CHAPTER OF THE BLIND

Field Data
EIN 82-4511531
Case Number EO-2018079-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH CENTRAL GEORGIA CHAPTER OF THE BLIND
Organization’s Mailing Address 68 INDIAN HILLS DRIVE
City RYDAL
State GA
ZIP 30171
Accounting period End 12
Primary contact name WENDY SIMONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRONWYN RUMERY
PRESIDENT
100 W SELLERS STREET
JASPER GA 30143

Officer/Director/Trustee Two

DOUG DAVIS
VICE PRESIDENT
PO BOX 233
CARTERSVILLE GA 30120

Officer/Director/Trustee Three

RACHEL SIMONE
SECRETARY
68 INDIAN HILLS DRIVE
RYDAL GA 30171

Officer/Director/Trustee Four

WENDY SIMONE
TREASURER
68 INDIAN HILLS DRIVE
RYDAL GA 30171

Officer/Director/Trustee Five

SCOTT RUMERY
MEMBER REPRESENTATIVE
100 W SELLERS STREET
JASPER GA 30143

Organization’s website
Organization’s email NORTHCENTRAL.GA.CHAPTER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 WENDY SIMONE
Signature Title TREASURER
Signature Date 3/18/18

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