FORM 1023-EZ for NOTTELY SENIOR SERVICES INC

Field Data
EIN 47-1848634
Case Number EO-2014269-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOTTELY SENIOR SERVICES INC
Organization’s Mailing Address 256 WHITE DOVE LN
City BLAIRSVILLE
State GA
ZIP 30512
Accounting period End 12
Primary contact name FLOYD GREEN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEE WHEELER
PRESIDENT, DIRECTOR
256 WHITE DOVE LN
BLAIRSVILLE GA 30512

Officer/Director/Trustee Two

J ETHAN WALKER
SECRETARY, DIRECTOR
P O BOX 2483
BLAIRSVILLE GA 30514

Officer/Director/Trustee Three

PATRICK MARTIN
TREASURER, DIRECTOR
P O BOX 1163
BLAIRSVILLE GA 30514

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, 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 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
Signature Title
Signature Date

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