FORM 1023-EZ for KELSEYS CURE INC

Field Data
EIN 47-3525855
Case Number EO-2015216-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELSEYS CURE INC
Organization’s Mailing Address 1368 WALKER STREET
City GAINESVILLE
State GA
ZIP 30501
Accounting period End 5
Primary contact name MICHAEL D CROSS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELSEY BISHOP
PRESIDENT / EXECUTIVE DIRECTOR
1368 WALKER STREET
GAINESILLE GA 30501

Officer/Director/Trustee Two

VICKIE TRUSTY
TREASURER / CFO / DIRECTOR
4936 MILLER LAKE RD
GAINESVILLE GA 30507

Officer/Director/Trustee Three

NAN BISHOP
DIRECTOR
3903 WHITE SULPHUR RD
GAINESVILLE GA 30507

Officer/Director/Trustee Four

SHAY FARR
SECRETARY / DIRECTOR
4684 EAST HALL ROAD
GAINESVILLE GA 30507

Officer/Director/Trustee Five

ASHLEY ECHOLS
DIRECTOR
2350 PEACETIME DRIVE
GAINESVILLE GA 30507

Organization’s website HTTP://KELSEYSCURE.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
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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