FORM 1023-EZ for PINK HEALS TIFTON TIFT COUNTY INC

Field Data
EIN 83-1919952
Case Number EO-2018262-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINK HEALS TIFTON TIFT COUNTY INC
Organization’s Mailing Address PO BOX 265
City TIFTON
State GA
ZIP 31793
Accounting period End 12
Primary contact name AUSTIN MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUSTIN MARTIN
PRESIDENT
66 EDINBURGH
TIFTON GA 31793

Officer/Director/Trustee Two

CHRISTOPHER CHUNG
TREASURER
18 SEMINOLE TRAIL
TIFTON GA 31793

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 AUSTIN MARTIN
Signature Title PRESIDENT
Signature Date 9/17/18

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