FORM 1023-EZ for 3-H INTERNATIONAL COMMUNITY ASSISTANCE NOW CENTER

Field Data
EIN 47-4065639
Case Number EO-2016187-000511
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 3-H INTERNATIONAL COMMUNITY ASSISTANCE NOW CENTER
Organization’s Mailing Address 352 J W EDWARDS DRIVE
City BYRON
State GA
ZIP 31008
Accounting period End 5
Primary contact name DR JANICE GREEN PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BISHOP CURTIS L PARKER
DIRECTOR
352 J W EDWARDS DRIVE
BYRON GA 31008

Officer/Director/Trustee Two

DR JANICE GREEN PARKER
CEO/INCORPORATOR
352 J W EDWARDS DRIVE
BYRON GA 31008

Officer/Director/Trustee Three

SHARON GLAWSON
BOARD MEMBER
1152 WALL STREET
MACON GA 31201

Officer/Director/Trustee Four

BRENDA BENEDICT
DIRECTOR
670 WINDHAM WAY
POOLER GA 31322

Officer/Director/Trustee Five

ARLOW BRANTLEY
BOARD MEMBER
239 PEACHTREE CIRCLE APT B
WARNER ROBINS GA 31088

Organization’s website 3HICAN.COM
Organization’s email DRJANICEGPARKER@3-HICAN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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
Signature Title
Signature Date

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