FORM 1023-EZ for SPACE TIME AND COMMUNITY INC

Field Data
EIN 82-2123477
Case Number EO-2017289-000535
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPACE TIME AND COMMUNITY INC
Organization’s Mailing Address 3710 COUNTRY ESTATE DR NW
City KENNESAW
State GA
ZIP 30152-4014
Accounting period End 6
Primary contact name JENNIFER CASEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY ELMORE
PRESIDENT
3200 CAPE CIRCLE
ALPHARETTA GA 30009

Officer/Director/Trustee Two

DARBY KENNEDY
TREASURER
5693 BROOKSTONE WALK NW
ACWORTH GA 30101

Officer/Director/Trustee Three

JENNIFER CASEY
VICE PRESIDENT
3710 COUNTRY ESTATE DR NW
KENNESAW GA 30152

Officer/Director/Trustee Four

DAWN BACAK
SECRETARY
5308 BROADWOOD AVE
PEACHTREE CORNERS GA 30092

Officer/Director/Trustee Five

ELIZABETH MATHIS
MEMBER AT LARGE
1941 TIDMORE BEND RD
GADSDEN AL 35901

Organization’s website HTTPS://WWW.STACOFGA.ORG/
Organization’s email STACOFGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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
Signature Title
Signature Date

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