FORM 1023-EZ for ELBERT PARTNERS FOR HEALTH
| Field | Data |
|---|---|
| EIN | 83-0897009 |
| Case Number | EO-2018325-000102 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ELBERT PARTNERS FOR HEALTH |
| Organization’s Mailing Address | PO BOX 336 |
| City | ELBERTON |
| State | GA |
| ZIP | 30635 |
| Accounting period End | 6 |
| Primary contact name | ALYSIA POON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALYSIA POON
PRESIDENT
1640 DEEP CREEK RD
DEWY ROSE GA 30634
Officer/Director/Trustee Two
JENNIFER JENKINS
TREASURER
1141 BROWN BROTHERS RD
ELBERTON GA 30635
Officer/Director/Trustee Three
LAURA EVANS
SECRETARY
1578 LEXINGTON HWY
ELBERTON GA 30635
Officer/Director/Trustee Four
NANCY SEYMOUR
BOARD MEMBER
1321 FAIRWAY DRIVE
ELBERTON GA 30635
Officer/Director/Trustee Five
PAUL RAINER
BOARD MEMBER
PO BOX 656
ELBERTON GA 30635
| Organization’s website | WWW.ELBERTPARTNERSFORHEALTH.ORG |
|---|---|
| Organization’s email | INFO@ELBERTPARTNERSFORHEALTH.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/13/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | Yes |
| 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 | ALYSIA POON |
| Signature Title | PRESIDENT |
| Signature Date | 11/19/18 |
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