FORM 1023-EZ for ELSIE CASH YATES FOUNDATION

Field Data
EIN 85-0823233
Case Number EO-2020230-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELSIE CASH YATES FOUNDATION
Organization’s Mailing Address 1819 BALLYBUNION DRIVE
City JOHNS CREEK
State GA
ZIP 30097
Accounting period End 12
Primary contact name H BRYAN BREWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERI COLTON
CEO, CFO, AND DIRECTOR
1819 BALLYBUNION DRIVE
JOHNS CREEK GA 30097

Officer/Director/Trustee Two

BRANDON COLTON
DIRECTOR
1819 BALLYBUNION DRIVE
JOHNS CREEK GA 30097

Officer/Director/Trustee Three

MICHAEL GAVIN
DIRECTOR
180 SAGE RUN TRAIL
JOHNS CREEK GA 30097

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JERI COLTON
Signature Title CEO, CFO, AND DIRECTOR
Signature Date 8/13/2020

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