FORM 1023-EZ for BETHLEHEM MEN OF ALLEN

Field Data
EIN 82-5372090
Case Number EO-2018143-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETHLEHEM MEN OF ALLEN
Organization’s Mailing Address 412 2ND STREET SW
City CAIRO
State GA
ZIP 39828
Accounting period End 12
Primary contact name BARBARA MCDUFFIE TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THORNTON ANDERSON
PRESIDENT
313 CRESCENT CIRCLE
CAIRO GA 39828

Officer/Director/Trustee Two

CODY JAMES
MEMBER
307 2ND STREET SE
CAIRO GA 39828

Officer/Director/Trustee Three

ALBERT SMITH JR
MEMBER
1062 UPPER HAWTHORNE TRAIL
CAIRO GA 39828

Officer/Director/Trustee Four

NORMAN BILLUPS
MEMBER
426 FLETCHER STREET
THOMASVILLE GA 31792

Officer/Director/Trustee Five

REGINALD KNIGHT
MEMBER
774 HALL ROAD
THOMASVILLE GA 31757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 CODY JAMES
Signature Title MEMBER
Signature Date 5/21/18

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