FORM 1023-EZ for SOUTHERN ROCK CARES

Field Data
EIN 81-1071027
Case Number EO-2016015-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN ROCK CARES
Organization’s Mailing Address 2101SOUTH11THST
City GADSDEN
State AL
ZIP 35904
Accounting period End 12
Primary contact name JOSEPENICHOLJR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH E NICHOLS JR
CHAIRMAN
2101 SOUTH 11TH ST
GADSDEN AL 35904

Officer/Director/Trustee Two

JOSEPH L PAGE
VICE CHAIRMAN
4805 WYOMING AVE UNIT A
NASHVILLE TN 37209

Officer/Director/Trustee Three

JOEL C PAGE
TREASURER
371 SE 726 ST
OLDTOWN FL 32680

Officer/Director/Trustee Four

SHARON A OGLES
RECORDER
1508 TIDMORE BEND RD
GADSDEN AL 35901

Officer/Director/Trustee Five

JOSEPH R WILLUT
TRUSTEE
1508 TIDMORE BEND RD
GADSDEN AL 35901

Organization’s website WWW.SOUTHERNROCKCARES.COM
Organization’s email SOUTHERNROCKCARES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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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