FORM 1023-EZ for FAITH COMMUNITY CARE HOME
| Field | Data |
|---|---|
| EIN | 81-2400116 |
| Case Number | EO-2020043-000161 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FAITH COMMUNITY CARE HOME |
| Organization’s Mailing Address | 1214 WHISPERING PINES ROAD |
| City | ALBANY |
| State | GA |
| ZIP | 31707 |
| Accounting period End | 12 |
| Primary contact name | DR MELLISSA WRIGHT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELLISSA WRIGHT
PRESIDENT
5109 GRANDVIEW DRIVE
ALBANY GA 31721
Officer/Director/Trustee Two
RODNEY WRIGHT
VICE PRESIDENT
5109 GRANDVIEW DRIVE
ALBANY GA 31721
Officer/Director/Trustee Three
ANGELIA JACKSON
SECRETARY
1639 MARYLAND AVENUE
ALBANY GA 31707
Officer/Director/Trustee Four
JENNIFER BLOUNT
TREASURER
165 HIGHLAND OAKS DRIVE
ALBANY GA 31701
Officer/Director/Trustee Five
ASHLEY WILSON
BOARD MEMBER
302 3RD STREET
CUTHBERT GA 39840
| Organization’s website | HTTPS://FAITHCOMMUNITYCARE.WIXSITE.COM/FCCH |
|---|---|
| Organization’s email | MELBRI15@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/10/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E92 - Home Health Care |
| 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 | 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 | MELLISSA WRIGHT |
| Signature Title | PRESIDENT |
| Signature Date | 2/10/2020 |
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