FORM 1023-EZ for THE CAMILLA FOUNDATION INC

Field Data
EIN 85-2044424
Case Number EO-2020206-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CAMILLA FOUNDATION INC
Organization’s Mailing Address 1504 SOUTH LEAH LANE
City STATESBORO
State GA
ZIP 30461
Accounting period End 12
Primary contact name HEATHER SLAMENICK HARMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL MILLER
PRESIDENT
1504 SOUTH LEAH LANE
STATESBORO GA 30461

Officer/Director/Trustee Two

SCOTT MARCHBANKS
BOARD OF DIRECTORS
804 EAST INMAN STREET
STATESBORO GA 30458

Officer/Director/Trustee Three

CATHERINE HENDRIX
BOARD OF DIRECTORS
342 SAVANNAH AVENUE
STATESBORO GA 30458

Organization’s website
Organization’s email APRIL@THECAMILLAFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 Yes
Donation of funds Yes
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 APRIL MILLER
Signature Title PRESIDENT
Signature Date 7/22/2020

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