FORM 1023-EZ for ACC COMMUNITY INCORPORATED

Field Data
EIN 84-3733682
Case Number EO-2019325-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACC COMMUNITY INCORPORATED
Organization’s Mailing Address 4644 POWDER SPRINGS DALLAS RD 151
City POWDER SPRINGS
State GA
ZIP 30127
Accounting period End 12
Primary contact name DEE GUILLORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMY CROSS-CISERO
CEO
4644 POWDER SPRINGS DALLAS RD 151
POWDER SPRINGS GA 30127

Officer/Director/Trustee Two

PATRICIA CRAY
COO
4644 POWDER SPRINGS DALLAS RD 151
POWDER SPRINGS GA 30127

Officer/Director/Trustee Three

DIONNE GUILLORY
CFO
4644 POWDER SPRINGS DALLAS RD 151
POWDER SPRINGS GA 30127

Organization’s website
Organization’s email DMGSBS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DIONNE GUILLORY
Signature Title CFO
Signature Date 11/19/19

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