FORM 1023-EZ for ZOE PEDIATRICS FOUNDATION INC

Field Data
EIN 47-5083340
Case Number EO-2015278-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZOE PEDIATRICS FOUNDATION INC
Organization’s Mailing Address 306 JOHNSTON DRIVE
City THOMASTON
State GA
ZIP 30286
Accounting period End 12
Primary contact name MICHAEL O HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DR BASIL KONG
TRUSTEE
306 JOHNSTON DRIVE
THOMASTON GA 30286

Officer/Director/Trustee Two

DR LINDA GORDON
PRESIDENT
306 JOHNSTON DRIVE
THOMASTON GA 30286

Officer/Director/Trustee Three

DR CHARLAYA CAMPBELL
TRUSTEE
306 JOHNSTON DRIVE
THOMASTON GA 30286

Officer/Director/Trustee Four

DR BANDE VIRGIL
TRUSTEE
306 JOHNSTON DRIVE
THOMASTON GA 30286

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G98 - Pediatrics
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
Signature Title
Signature Date

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