FORM 1023-EZ for FOUNDATION FOR ADVANCEMENT OF THE ANESTHESIA CARE TEAM

Field Data
EIN 83-4527161
Case Number EO-2019140-000497
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR ADVANCEMENT OF THE ANESTHESIA CARE TEAM
Organization’s Mailing Address 4260 CROSSLAND DRIVE
City CUMMING
State GA
ZIP 30040
Accounting period End 12
Primary contact name MICHAEL S NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL NICHOLS
OFFICER
4260 CROSSLAND DRIVE
CUMMING GA 30040

Officer/Director/Trustee Two

SOREN CAMPBELL
DIRECTOR
15840 TEAL ROAD
VERONA KY 41092

Officer/Director/Trustee Three

GREGORY NICHOLS
DIRECTOR
36098 BILLINGSLEY ROW
AVON OH 44011

Organization’s website WWW.FAACT.US
Organization’s email INFO@FAACT.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
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 Yes
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 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 MICHAEL NICHOLS
Signature Title OFFICER
Signature Date 5/18/19

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