FORM 1023-EZ for THE ANSLEY FOUNDATION INC

Field Data
EIN 83-1733446
Case Number EO-2018270-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ANSLEY FOUNDATION INC
Organization’s Mailing Address 79 STATES AVE
City DALLAS
State GA
ZIP 30132
Accounting period End 12
Primary contact name DONNA COCHRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA COCHRAN
PRESIDENT, DIRECTOR
79 STATES AVE
DALLAS GA 30132

Officer/Director/Trustee Two

LAMAR COCHRAN
SECRETARY, DIRECTOR
79 STATES AVE
DALLAS GA 30132

Officer/Director/Trustee Three

BUDDY WALTERS
TREASURER, DIRECTOR
79 STATES AVE
DALLAS GA 30132

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/18
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: Yes
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 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 DONNA COCHRAN
Signature Title PRESIDENT, DIRECTOR
Signature Date 9/25/18

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