FORM 1023-EZ for MIDDLE GEORGIA COMMUNITY COLLABORATIONS INCORPORATED

Field Data
EIN 84-2232380
Case Number EO-2020024-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDDLE GEORGIA COMMUNITY COLLABORATIONS INCORPORATED
Organization’s Mailing Address 436 STONECREST CT
City MACON
State GA
ZIP 31216-7450
Accounting period End 6
Primary contact name JENNIFER EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER EVANS
PRESIDENT
436 STONECREST COURT
MACON GA 31216-7450

Officer/Director/Trustee Two

SHARONDA BROOKS
VICE PRESIDENT
677 MANNING MILL
MACON GA 31216-7379

Officer/Director/Trustee Three

ENJOLI HATCHER
SECRETARY/TREASURER
4940 US HWY 80 E
KNOXVILLE GA 31050-2558

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 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 JENNIFER EVANS
Signature Title PRESIDENT
Signature Date 1/22/2020

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