FORM 1023-EZ for POTTERY COUNSELING CENTER INC

Field Data
EIN 83-1677190
Case Number EO-2019354-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POTTERY COUNSELING CENTER INC
Organization’s Mailing Address PO BOX 832
City HOMER
State GA
ZIP 30547
Accounting period End 12
Primary contact name JASON POOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON POOLE
SECRETARY-TREASURER
318 MOSS FARM RD
ALTO GA 30510

Officer/Director/Trustee Two

JOE GARMON
PRESIDENT - CHAIRMAN
6262 HULSEY RD
CLERMONT GA 30527

Officer/Director/Trustee Three

HEATHER MARSH
VICE PRESIDENT
345 LATHAN RD
COMMERCE GA 30529

Officer/Director/Trustee Four

CHRISTY HILL
DIRECTOR
4445 WATERWORKS RD
JEFFERSON GA 30549

Officer/Director/Trustee Five

MATTHEW MOTE
EXECUTIVE DIRECTOR
2254 BLACKSNAKE RD
MOUNT AIRY GA 30563

Organization’s website
Organization’s email POTTERYCENTER177@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASON POOLE
Signature Title SECRETARY-TREASURER
Signature Date 12/18/2019

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