FORM 1023-EZ for COWETA COUNTY ADULT DRUG COURT INC

Field Data
EIN 45-2147919
Case Number EO-2014265-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COWETA COUNTY ADULT DRUG COURT INC
Organization’s Mailing Address 51 PERRY ST
City NEWNAN
State GA
ZIP 30263
Accounting period End 12
Primary contact name BILL LARKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER LUDLOW
CHAIRMAN
WEST GEORGIA TECHNICAL COLLEGE
NEWNAN GA 30263

Officer/Director/Trustee Two

CAROL PRINCE
VICE CHARMAN
48 BALL ST
NEWNAN GA 30263

Officer/Director/Trustee Three

NIKI LAY
SECRETARY
77 COLLEGE ST
NEWNAN GA 30263

Officer/Director/Trustee Four

BILL LARKEY
TREASURER
6 BELLTREE CIRCLE
NEWNAN GA 30263

Officer/Director/Trustee Five

STEVE MADER
DIRECTOR
695 BULLSBORO DR
NEWNAN GA 30265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2011
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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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