FORM 1023-EZ for ROMEGACARES INC

Field Data
EIN 83-1949936
Case Number EO-2020177-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROMEGACARES INC
Organization’s Mailing Address 3 GOVERNMENT PLAZA SUITE 110
City ROME
State GA
ZIP 30161
Accounting period End 12
Primary contact name TIM BURKHALTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN HOLT
DIRECTOR
100 DAVIS ROAD SW
CAVE SPRINGS GA 30124

Officer/Director/Trustee Two

WENDELL HICKS
DIRECTOR
PO BOX 10
CAVE SPRINGS GA 30124

Officer/Director/Trustee Three

CARRIE EDGE
DIRECTOR
67 SHADY LANE SE
ROME GA 30161

Officer/Director/Trustee Four

TIM BURKHALTER
DIRECTOR
2526 NEW CALHOUN RD
ROME GA 30161

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 TIM BURKHALTER
Signature Title DIRECTOR
Signature Date 6/16/2020

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