FORM 1023-EZ for GTC ACWORTH GIVES BACK INC

Field Data
EIN 47-3384349
Case Number EO-2015075-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GTC ACWORTH GIVES BACK INC
Organization’s Mailing Address 4300 GOVERNORS TOWNE DRIVE
City ACWORTH
State GA
ZIP 30101
Accounting period End 12
Primary contact name JACQUELINE DUNCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE DUNCAN
PRESIDENT
4224 TATTNALL RUN
ACWORTH GA 30101

Officer/Director/Trustee Two

PATRICK CURRY
VICE PRESIDENT
4300 GOVERNORS TOWNE DRIVE
ACWORTH GA 30101

Organization’s website WWW.GTCGIVESBACK.US
Organization’s email GTCGIVESBACK2015@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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