FORM 1023-EZ for SENIOR AND COMMUNITY BENEFIT ADVOCATE INC

Field Data
EIN 84-2043869
Case Number EO-2020147-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIOR AND COMMUNITY BENEFIT ADVOCATE INC
Organization’s Mailing Address PO BOX 2872
City DOUGLAS
State GA
ZIP 31534-2872
Accounting period End 12
Primary contact name LASHONDA FLETCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LASHONDA FLETCHER
PRESIDENT
122 BOWENS MILL RD SE B5
DOUGLAS GA 31533-1115

Officer/Director/Trustee Two

DIANE MITCHELL
SECRETARY
92 CANDLELIGHT LN
WILLACOOCHEE GA 31650-3524

Officer/Director/Trustee Three

GOYITO LESLIE
TREASURER
231 NOVA DR
DAVENPORT FL 33837-2639

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy 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 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 LASHONDA FLETCHER
Signature Title PRESIDENT
Signature Date 5/21/2020

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