FORM 1023-EZ for NATIONAL REGISTRY OF STANDBY GUARDIANS INC

Field Data
EIN 85-2979705
Case Number EO-2020265-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL REGISTRY OF STANDBY GUARDIANS INC
Organization’s Mailing Address 323 MIMOSA DRIVE
City DECATUR
State GA
ZIP 30030
Accounting period End 12
Primary contact name DERRICK PEAVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK PEAVY
DIRECTOR
323 MIMOSA DRIVE
DECATUR GA 30030

Officer/Director/Trustee Two

MELANIE JORDAN
DIRECTOR
2145 NIGHT SKY LANE
LAFAYETTE CO 80026

Officer/Director/Trustee Three

ANNSLEY VAN BUSKIRK
DIRECTOR
401 48TH STREET N
ST. PETERSBURG FL 33713

Organization’s website HTTPS://WWW.NATIONALREGIS
Organization’s email EVERYTHING@NRSBG.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R28 - Children's Rights
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 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 DERRICK PEAVY
Signature Title DIRECTOR
Signature Date 9/17/2020

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