FORM 1023-EZ for THE CHRISTOPHER CHURCHILL FOUNDATION INC

Field Data
EIN 81-2658697
Case Number EO-2016147-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHRISTOPHER CHURCHILL FOUNDATION INC
Organization’s Mailing Address 2206 PARKVIEW LN NW
City ATLANTA
State GA
ZIP 30318-1211
Accounting period End 12
Primary contact name GARRETT CHURCHILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARRETT CHURCHILL
CHAIRPERSON
2206 PARKVIEW LN NW
ATLANTA GA 30318-1211

Officer/Director/Trustee Two

MARISSA CHURCHILL
DIRECTOR
2206 PARKVIEW LN NW
ATLANTA GA 30318-1211

Officer/Director/Trustee Three

BRITTANY CHURCHILL
DIRECTOR
2206 PARKVIEW LN NW
ATLANTA GA 30318-1211

Officer/Director/Trustee Four

MICHAEL WALLING
DIRECTOR
4020 EYRIE FARMS LN
CUMMING GA 30041-1512

Organization’s website WWW.CHRISCHURCHILLMEMORIALGOLF.COM
Organization’s email GSCHURCHILL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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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