FORM 1023-EZ for PRIMITIVE RECHARGE FOUNDATION INC

Field Data
EIN 82-4636463
Case Number EO-2019085-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRIMITIVE RECHARGE FOUNDATION INC
Organization’s Mailing Address 14 LUCAS COURT
City DAHLONEGA
State GA
ZIP 30533
Accounting period End 12
Primary contact name SHANNON CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON CLARK
VICE PRESIDENT
14 LUCAS COURT
DAHLONEGA GA 30533

Officer/Director/Trustee Two

BARRON CLARK
PRESIDENT
14 LUCAS COURT
DAHLONEGA GA 30533

Officer/Director/Trustee Three

LEAR JELKS
SECRETARY
116 SYNDER RD NE
SPARTA GA 31087

Officer/Director/Trustee Four

NEDRA MORTON-BEY
TREASURER
1830 RICHFIELD DRIVE
SEVERN MD 21144

Organization’s website TPRFOUNDATION.COM
Organization’s email PRIMITIVEREHARGEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 SHANNON CLARK
Signature Title VICE PRESIDENT
Signature Date 3/24/19

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