FORM 1023-EZ for JEFFERSON COUNTY CIVIC & UNIFICATION ASSOCIATION INC
| Field | Data |
|---|---|
| EIN | 85-4078457 |
| Case Number | EO-2021034-000205 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JEFFERSON COUNTY CIVIC & UNIFICATION ASSOCIATION INC |
| Organization’s Mailing Address | P O BOX 23 |
| City | LOUISVILLE |
| State | GA |
| ZIP | 30434 |
| Accounting period End | 12 |
| Primary contact name | DIANE FLOURNOY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CYNTHIA WELLS
PRESIDENT
1931 GENE HOWARD ROAD
STAPLETON GA 30823
Officer/Director/Trustee Two
ALTON SPELLS III
VICE PRESIDENT
P O BOX 525
LOUISVILLE GA 30434
Officer/Director/Trustee Three
VERNETTA LOYD
TREASURER
1020 WASHINGTON STREET
LOUISVILLE GA 30434
Officer/Director/Trustee Four
DIANE FLOURNOY
SECRETARY
3795 AUSTIN COURT
ATLANTA GA 30331
Officer/Director/Trustee Five
MARY TREMBLE
PARLIAMENTARIAN
P O BOX 852
LOUISVILLE GA 30434
| Organization’s website | N/a |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/1/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DIANE FLOURNOY |
| Signature Title | SECRETARY |
| Signature Date | 12/13/2020 |
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