FORM 1023-EZ for NELSON HEIGHT COMMUNITY SERVICES INC

Field Data
EIN 30-0545614
Case Number EO-2015051-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NELSON HEIGHT COMMUNITY SERVICES INC
Organization’s Mailing Address 7200 LASETER STREET
City COVINGTON
State GA
ZIP 30014-3894
Accounting period End 12
Primary contact name JC HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES RUSSELL
BOARD MEMBER
100CHESTNUT DRIVE
COVINGTON GA 30016-3894

Officer/Director/Trustee Two

FORREST SAWYER
BOARD MEMBER
400 RIDGE AVENUE
COVINGTON GA 30014-3894

Officer/Director/Trustee Three

MYRIA MENTHOL
SECRETARY
8168 PUCKETT STREET
COVINGTON GA 30014-3894

Officer/Director/Trustee Four

ALBERTA BENTON
BOARD MEMBER
80 WINDSOR WAY
OXFORD GA 30054-3895

Officer/Director/Trustee Five

JC HENDERSON
CHAIRMAN
7200 LASETER STREET
CCOVINGTON GA 30014-3894

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2008
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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