FORM 1023-EZ for SENIOR CITIZENS COUNCIL OF COBB COUNTY INC

Field Data
EIN 47-4434032
Case Number EO-2015236-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR CITIZENS COUNCIL OF COBB COUNTY INC
Organization’s Mailing Address 1150 POWDER SPRINGS ST
City MARIETTA
State GA
ZIP 30064
Accounting period End 12
Primary contact name MR FRANCIS OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANCIS OBRIEN
PRESIDENT DIRECTOR
4004 VINEYARDS LANE NW
KENNESAW GA 30144

Officer/Director/Trustee Two

KIMBERLY HAASE
SECRETARY DIRECTOR
216 CREEL CHASE NW
KENNESAW GA 30144

Officer/Director/Trustee Three

JANE GALVIN-LEWIS
VICE PRESIDENT DIRECTOR
1406 VELVET CREEK TRACE SW
MARIETTA GA 30008

Officer/Director/Trustee Four

GWEN GAYTHOS
TREASURER DIRECTOR
1442 SETTLERS WALK WAY
MARIETTA GA 30060

Officer/Director/Trustee Five

HAROLD SMITH
DIRECTOR
825 AUSTIN DRIVE SE
SMYRNA GA 30082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R25 - Seniors' Rights
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 Yes
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 No
One Third Support Gifts Yes
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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