FORM 1023-EZ for FOUNDATION HOUSE OF SOUTH GEORGIA INC

Field Data
EIN 84-2172306
Case Number EO-2019249-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION HOUSE OF SOUTH GEORGIA INC
Organization’s Mailing Address PO BOX 829
City NASHVILLE
State GA
ZIP 31639
Accounting period End 12
Primary contact name DANIEL HANCOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL HANCOCK
CHAIRMAN
212 POPLAR SPRINGS RD
NASHVILLE GA 31639

Officer/Director/Trustee Two

LISA HANCOCK
SECRETARY
212 POPLAR SPRINGS RD
NASHVILLE GA 31639

Officer/Director/Trustee Three

JESSE SLOAN
VICE PRESIDENT
1102 TEETERVILLE RD
NASHVILLE GA 31639

Officer/Director/Trustee Four

JUANITA SLOAN
TREASURER
1102 TEETERVILLE RD
NASHVILLE GA 31639

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 Yes
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 DANIEL HANCOCK
Signature Title CHAIRMAN
Signature Date 9/4/19

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