| Field | Data |
|---|---|
| EIN | 83-1801681 |
| Case Number | EO-2018264-000306 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUNDATION TO BENEFIT COOK COUNTY CHILDREN AND YOUTH INC |
| Organization’s Mailing Address | 201 E 5THST |
| City | ADEL |
| State | GA |
| ZIP | 31620 |
| Accounting period End | 12 |
| Primary contact name | JERRY CONNELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRENT DIXON
PRESIDENT
PO BOX 278
ADEL GA 31620
JERRY CONNELL
VICE PRESIDENT
2301 MASSEE POST RD
ADEL GA 31620
ANGELINA CLANTON
SECRETARY
8551 VAL DEL RD
ADEL GA 31620
KIRK HAND
DIRECTOR
4239 ANTIOCH RD
ADEL GA 31620
DONALD HUCKABY
DIRECTOR
135 CAULIE HARRIS RD
ADEL GA 31620
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/18/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes 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 | JERRY CONNELL |
| Signature Title | VICE PRESIDENT |
| Signature Date | 9/19/18 |
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