FORM 1023-EZ for FAMILY AFFAIR COMMUNITY SERVICES INCORPORATED

Field Data
EIN 81-3254627
Case Number EO-2016253-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY AFFAIR COMMUNITY SERVICES INCORPORATED
Organization’s Mailing Address 3 CULVERTON COURT
City SAVANNAH
State GA
ZIP 31406-4105
Accounting period End 12
Primary contact name STEWART HAYNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEWART HAYNES
CHIEF EXECUTIVE OFFICER
3 CULVERTON COURT
SAVANNAH GA 31406-4105

Officer/Director/Trustee Two

ROMONDO STEWART
PRESIDENT
173 FINN CIRCLE
SAVANNAH GA 31419-8416

Officer/Director/Trustee Three

DANIELLE GUSBY
TREASURER
2706 FENWICK VILLAGE DRIVE
SAVANNAH GA 31419-8471

Officer/Director/Trustee Four

LAVERNE HAYNES
VICE PRESIDENT
3 CULVERTON COURT
SAVANNAH GA 31406-4105

Officer/Director/Trustee Five

CYNTHIA DUNHAM
SECRETARY
116 NELSON DRIVE
RICHMOND HILL GA 31325-7604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 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
Signature Title
Signature Date

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