FORM 1023-EZ for GEORGIA CENTER FOR YOUTH AND FAMILIES INC

Field Data
EIN 26-4553602
Case Number EO-2014358-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GEORGIA CENTER FOR YOUTH AND FAMILIES INC
Organization’s Mailing Address 11526 REGISTRY BLVD
City HAMPTON
State GA
ZIP 30228
Accounting period End 12
Primary contact name MONIQUE HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MONIQUE HENDERSON
EXECUTIVE DIRECTOR
PO BOX 722
LOVEJOY GA 30250

Officer/Director/Trustee Two

MICHELLE MITCHELL
BOARD CHAIR
PO BOX 722
LOVEJOY GA 30250

Officer/Director/Trustee Three

JAYSON ALEXANDER
BOARD TREASURER
PO BOX 722
LOVEJOY GA 30250

Officer/Director/Trustee Four

MARSHA VAUGHN
BOARD SECRETARY
PO BOX 722
LOVEJOY GA 30250

Organization’s website WWW.GACENTERFORYOUTH.ORG
Organization’s email MHENDERSON@GACENTERFORYOUTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2009
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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