FORM 1023-EZ for ROLLING BROOK CHRISTIAN FOUNDATIONINC

Field Data
EIN 58-1315891
Case Number EO-2020022-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROLLING BROOK CHRISTIAN FOUNDATIONINC
Organization’s Mailing Address 506 MCBRIDE RD
City FAYETTEVILLE
State GA
ZIP 30215
Accounting period End 12
Primary contact name CARL AVRIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WALTER IVEY
PRESIDENT
506 MCBRIDE RD
FAYETTEVILLE GA 30215

Officer/Director/Trustee Two

CARL AVRIT
VP
190 WYNGATE CIRCLE
FAYETTEVILLE GA 30214

Officer/Director/Trustee Three

RACHEL IVEY
SECRETARY
506 MCBRIDE RD
FAYETTEVILLE GA 30215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/1977
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CARL AVRIT
Signature Title VP
Signature Date 1/20/2020

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