FORM 1023-EZ for BANKS COUNTY FAMILY CONNECTION INC

Field Data
EIN 47-2021789
Case Number EO-2014358-000049
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BANKS COUNTY FAMILY CONNECTION INC
Organization’s Mailing Address P O BOX 264
City HOMER
State GA
ZIP 30547
Accounting period End 12
Primary contact name CAROL WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASHLEY SMITH
PRESIDENT
147 SULLIVAN DRIVE
HOMER GA 30547

Officer/Director/Trustee Two

RITA BUSH
TREASURER
655 SIMS BRIDGE ROAD
COMMERCE GA 30530

Officer/Director/Trustee Three

STACEY MORGAN
SECRETARY
5508 LATTY ROAD
LULA GA 30554

Officer/Director/Trustee Four

LISA PRESCOTT
DIRECTOR
163 LOUISE DRIVE
COMMERCE GA 30529

Officer/Director/Trustee Five

STACY KRUMNOW
DIRECTOR
569 PAYNE ROAD
HOMER GA 30547

Organization’s website HTTP://BANKS.GAFCP.ORG/
Organization’s email BANKSCOUNTYFC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
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 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 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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