FORM 1023-EZ for CONCERNED WOMEN IN ACTION INC

Field Data
EIN 47-4079127
Case Number EO-2015146-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCERNED WOMEN IN ACTION INC
Organization’s Mailing Address 725 LANEY WALKER BOULEVARD
City AUGUSTA
State GA
ZIP 30901
Accounting period End 12
Primary contact name FAITH COZART CEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FAITH COZART
CEO
3104 OCEAN DRIVE
AUGUSTA GA 30909

Officer/Director/Trustee Two

CHRISTINE WALKER
CFO
3014 23RD AVENUE
GULFPORT MS 39501

Officer/Director/Trustee Three

LORRAINE BUTLER
SECRETARY
725 LANEY WALKER BOULEVARD
AUGUSTA GA 30901

Officer/Director/Trustee Four

MARY KINGCANNON
OFFICER
725 LANEY WALKER BOULEVARD
AUGUSTA GA 30901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/1992
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: 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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