FORM 1023-EZ for ATHENS PRAYER NETWORK INC

Field Data
EIN 83-0661954
Case Number EO-2018150-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATHENS PRAYER NETWORK INC
Organization’s Mailing Address 645 RIVERBEND PARKWAY
City ATHENS
State GA
ZIP 30605
Accounting period End 12
Primary contact name STEPHEN M SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN SMITH
CEO
645 RIVERBEND PARKWAY
ATHENS GA 30605

Officer/Director/Trustee Two

JOHN RAYMOND
CFO
270 PROVIDENCE ROAD
ATHENS GA 30606

Officer/Director/Trustee Three

RYAN WORSLEY
SECRETARY
1210 BENT CREEK ROAD
WATKINSVILLE GA 30677

Officer/Director/Trustee Four

BOB BECKWITH
DIRECTOR
789 HIGH FALLS CT
JEFFERSON GA 30549

Officer/Director/Trustee Five

TRAVIS GAY
DIRECTOR
2791 OLD FARMINGTON ROAD
WATKINSVILLE GA 30677

Organization’s website WWW.ATHENSPRAYERNETWORK.COM
Organization’s email ATHENSPRAYERNETWORK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 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 STEPHEN SMITH
Signature Title CEO
Signature Date 5/25/18

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