FORM 1023-EZ for THE RACK PACK DECATUR

Field Data
EIN 47-1972085
Case Number EO-2016190-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RACK PACK DECATUR
Organization’s Mailing Address 2502 GREENWOOD DR SE
City DECATUR
State AL
ZIP 35601
Accounting period End 6
Primary contact name ANGIE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTNEY MCCOLLUM
DIRECTOR
2502 GREENWOOD DR
DECATUR AL 35601

Officer/Director/Trustee Two

CINDY MEADOWS
DIRECTOR
2002 CRESTVIEW DR SE
DECATUR AL 35601

Officer/Director/Trustee Three

SUZANNE HORSLEY
DIRECTOR
2215 12TH ST SE
DECATUR AL 35601

Organization’s website
Organization’s email THERACKPACKDECATUR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Signature Name
Signature Title
Signature Date

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