FORM 1023-EZ for CLINCH COUNTY SCOUTING FOUNDATION CHARITABLE TRUST

Field Data
EIN 36-7683394
Case Number EO-2017033-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINCH COUNTY SCOUTING FOUNDATION CHARITABLE TRUST
Organization’s Mailing Address 10 NORTH COLLEGE STREET
City HOMERVILLE
State GA
ZIP 31634
Accounting period End 12
Primary contact name JACK JEFFREY HELMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK HELMS
TRUSTEE
10 NORTH COLLEGE STREET
HOMERVILLE GA 31634

Officer/Director/Trustee Two

JAMES DAVIS
TRUSTEE
170 CANEY BRANCH ROAD
HOMERVILLE GA 31634

Officer/Director/Trustee Three

MILDRED STOVALL
TRUSTEE
626 WEST DAME AVENUE
HOMERVILLE GA 31634

Officer/Director/Trustee Four

CASANDRA JAMES
TRUSTEE
598 NELLIE SMITH ROAD
HOMERVILLE GA 31634

Officer/Director/Trustee Five

CHARLES STEEDLEY
TRUSTEE
348 EAST DAME AVENUE
HOMERVILLE GA 31634

Organization’s website
Organization’s email JEFFHEMS@HELMSLAW.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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