FORM 1023-EZ for CHOICES CRISIS PREGNANCY CENTER INC

Field Data
EIN 36-4978988
Case Number EO-2021274-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOICES CRISIS PREGNANCY CENTER INC
Organization’s Mailing Address 230 SKY HIGH DRIVE 81
City SKY VALLEY
State GA
ZIP 30537
Accounting period End 12
Primary contact name KIRK JARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID PORT
CHAIRMAN
921 SMOKEY HOLLOW DRIVE
DILLARD GA 30537

Officer/Director/Trustee Two

ADAM WRIGHT
VICE CHAIRMAN
PO BOX 237
WILEY GA 30581

Officer/Director/Trustee Three

CARLA WRIGHT
CHIEF EXECUTIVE OFFICER
PO BOX 237
WILEY GA 30581

Officer/Director/Trustee Four

CONNIE HAGLER
SECRETARY
3854 MULBERRY ROAD
OTTO NC 28763

Officer/Director/Trustee Five

CARL EDWARDS
TREASURER
111 VALLEY CROFT RD
OTTO NC 28763

Organization’s website WWW.CHOICESCPC.ORG
Organization’s email CARLA@CHOICESCPC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E40 - Reproductive Health Care Facilities and Allied Services
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 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 No
Signature Name ADAM WRIGHT
Signature Title VICE CHAIRMAN
Signature Date 9/29/2021

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