| Field | Data |
|---|---|
| EIN | 83-4650585 |
| Case Number | EO-2020174-000583 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MADISON S COLLIER BLUE HEART FOUNDATION INC |
| Organization’s Mailing Address | PO BOX 982 |
| City | PELHAM |
| State | GA |
| ZIP | 31779 |
| Accounting period End | 12 |
| Primary contact name | KIZZY GORDON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KIZZY GORDON
CEO, CFO, SECRETARY, TREASURER, PRE
4912 DANIE ROAD
CAMILLA GA 31730
PATRICIA SMITH
VOTING MEMBER, BOARD
156 SAPELO DRIVE
LEES BURG GA 31763
TRUTH WIMBERLY
VOTING MEMBER, BOARD
4912 DANIE ROAD
CAMILLA GA 31730
| Organization’s website | |
|---|---|
| Organization’s email | KIZZYGORDON@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/29/2019 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Z99 - Unclassified |
| 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 | Yes |
| 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 | 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 | KIZZY GORDON |
| Signature Title | CEO, CFO, SECRETARY, TREASURER, PRE |
| Signature Date | 6/18/2020 |
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