FORM 1023-EZ for CARRIE LYNN GRAZETTE CANCER FOUNDATION OF ATLANTA INC

Field Data
EIN 47-4015026
Case Number EO-2018249-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARRIE LYNN GRAZETTE CANCER FOUNDATION OF ATLANTA INC
Organization’s Mailing Address 1935 CHEYENNE TRL
City JONESBORO
State GA
ZIP 30326
Accounting period End 12
Primary contact name WAYNE BYNOE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE BYNOE
PRESIDENT
1935 CHEYENNE TRL
JONESBORO GA 30326

Officer/Director/Trustee Two

ELLIE MAE JONES
VICE PRESIDENT
514 COOL WEATHER DR
LAWRENCEVILLE GA 30045

Officer/Director/Trustee Three

DEBRA PATRICK
SECRETARY
790 OAKDALE DRIVE
FOREST PARK GA 30297

Officer/Director/Trustee Four

MICHAEL WEEKES
TREASURER
1245 RIVERLOCH WAY
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Five

ANNE JONES
DIRECTOR
766 ROLAND ROAD
STONE MTN GA 30083

Organization’s website
Organization’s email CLGCFATL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/15
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL WEEKES
Signature Title TREASURER
Signature Date 9/4/18
EIN 47-4015026
Case Number EO-2017242-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARRIE LYNN GRAZETTE CANCER FOUNDATION ATL INC
Organization’s Mailing Address 1935 CHEYENNE TRAIL
City JONESBORO
State GA
ZIP 30326
Accounting period End 12
Primary contact name MICHAEL WEEKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE BYNOE
PRESIDENT
1935 CHEYENNE TRL
JONESBORO GA 30326

Officer/Director/Trustee Two

ELLIMAY ACHEAMPONG
VICE PRESIDENT
514 COOL WEATHER DR
LAWRENCEVILLE GA 30045

Officer/Director/Trustee Three

DEBRA PATRICK
SECRETARY
790 OAKDALE DRIVE
FOREST PARK GA 30297

Officer/Director/Trustee Four

MICHAEL WEEKES
TREASURER
1245 RIVERLOCH WAY
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Five

ANNE JONES
DIRECTOR
766 ROWLAND RD
STONE MTN GA 30083

Organization’s website
Organization’s email CLGCFATL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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