FORM 1023-EZ for CENTAUR FOUNDATION OF GIVING INC

Field Data
EIN 47-4865273
Case Number EO-2016190-000675
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTAUR FOUNDATION OF GIVING INC
Organization’s Mailing Address 2002 COMMERCE DRIVE N SUITE 101
City PEACHTREE CITY
State GA
ZIP 30269
Accounting period End 6
Primary contact name MELISSA ORME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GATHLINE ETIENNE
DIRECTOR
105 HAZELRIDGE LANE
SHARPSBURG GA 30277

Officer/Director/Trustee Two

HENRIK VITAL
DIRECTOR
105 HAZELRIDGE LANE
SHARPSBURG GA 30277

Officer/Director/Trustee Three

NATAHLIE VITAL
DIRECTOR
8710 NW 48TH COURT
LAUDERHILL GA 33351

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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