| Field | Data |
|---|---|
| EIN | 47-5141720 |
| Case Number | EO-2017173-000403 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KICKN CANCER OF SOUTHWEST GEORGIA INC |
| Organization’s Mailing Address | 216 S BROAD ST |
| City | THOMASVILLE |
| State | GA |
| ZIP | 31792 |
| Accounting period End | 12 |
| Primary contact name | SHELBA SELLERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DEBBIE BEESON
PRESIDENT
7821 METCALF RD
THOMASVILLE GA 31792
NANCY WALKER
VICE PRESIDENT
320 BRIARCLIFF DR
THOMASVILLE GA 31792
DARBY HEWETT
TREASURER
221 DEER LAKE RD
OCHLOCKNEE GA 31773
ELEANOR LILLY
SECRETARY
135 JUNIUS ST
THOMASVILLE GA 31792
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/14/2014 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A90 - Arts Service Organizations and Activities |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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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