FORM 1023-EZ for MADISON COUNTY ADVISORY COUNCIL ONAGING INC

Field Data
EIN 86-1827875
Case Number EO-2021085-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADISON COUNTY ADVISORY COUNCIL ONAGING INC
Organization’s Mailing Address 1265 GEORGIA HIGHWAY 98 WEST
City DANIELSVILLE
State GA
ZIP 30633
Accounting period End 12
Primary contact name ANGELA N ROUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

D LANIER BURDEN
CHAIRMAN
10034 HIGHWAY 172
COMER GA 30629

Officer/Director/Trustee Two

ANGELA ROUSE
TREASURER
1073 CRABAPPLE HOLLOW ROAD
HULL GA 30646

Officer/Director/Trustee Three

AMANDA WAGNER
MEMBER
960 OLD KINCAID ROAD
COLBERT GA 30628

Officer/Director/Trustee Four

BRADLEY AVERILL
MEMBER
14 PECAN COURT
WINTERVILLE GA 30683

Officer/Director/Trustee Five

MEGHAN RIGGS
MEMBER
748 MINISH LAKE ROAD
COMMERCE GA 30530

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/1986
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 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 ANGELA ROUSE
Signature Title TREASURER
Signature Date 2/3/2021

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