FORM 1023-EZ for NORTH GEORGIA POTTERS HOUSE FOR WOMEN

Field Data
EIN 83-4085354
Case Number EO-2019108-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH GEORGIA POTTERS HOUSE FOR WOMEN
Organization’s Mailing Address 23 SHERWOOD DRIVE NW
City CARTERSVILLE
State GA
ZIP 30121
Accounting period End 12
Primary contact name MARY MCGLONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MCGLONE
CEO
23 SHERWOOD DRIVE
CARTERSVILLE GA 30121

Officer/Director/Trustee Two

AMBER HUFSTETLER
SECRETARY
30 CLEAR PASS
ADAIRSVILLE GA 30103

Officer/Director/Trustee Three

JULIE KIRK
CHAIRMAN
16 PLEASANT LANE NE
FAIRMOUNT GA 30139

Officer/Director/Trustee Four

BETHANY KIRK
TREASURER
16 PLEASANT LANE NE
FAIRMOUNT GA 30139

Organization’s website
Organization’s email MARYMCGLONE@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY MCGLONE
Signature Title CEO
Signature Date 4/16/19

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