FORM 1023-EZ for REAL CHURCH ALBANY OURTREACH

Field Data
EIN 83-0831780
Case Number EO-2018302-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REAL CHURCH ALBANY OURTREACH
Organization’s Mailing Address P O BOX 51524
City ALBANY
State GA
ZIP 31703
Accounting period End 8
Primary contact name KIZZIE PIERCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIZZIETTE PIERCE
CEO
422 MEADOWLARK DR
ALBANY GA 31707

Officer/Director/Trustee Two

BREYONA PIERCE
SECRETARY
422 MEADOWLARK DR
ALBANY GA 31707

Officer/Director/Trustee Three

WALLACE WILLIAMS
TREASURER
2010 W BROAD AVE APT 119
ALBANY GA 31707

Officer/Director/Trustee Four

BEN FLETCHER
BOARD MEMBER
124 PHEASANT DRIVE
LEESBURG GA 31763

Officer/Director/Trustee Five

PATRICE WILLIAMS
BOARD MEMBER
2010 W BROAD AVE APT 119
ALBANY GA 31707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 KIZZIETTE PIERCE
Signature Title CEO
Signature Date 10/25/18

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