FORM 1023-EZ for BANDHEADS AND TEACHERS PET FOUNDATION INC

Field Data
EIN 86-1249334
Case Number EO-2021081-000631
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BANDHEADS AND TEACHERS PET FOUNDATION INC
Organization’s Mailing Address 5164 E PONCE DE LEON AVE APT X
City STONE MOUNTAIN
State GA
ZIP 30083
Accounting period End 12
Primary contact name RODRICK BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODRICK BARNES
PRESIDENT, DIRECTOR
5164 E PONCE DE LEON AVE APT X
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Two

LINWOOD WHITTEN
VICE PRESIDENT, DIRECTOR
5164 E PONCE DE LEON AVE APT X
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Three

JORDAN BROOKS
SECRETARY, DIRECTOR
5164 E PONCE DE LEON AVE APT X
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Four

JAQUERIS BOUTTRY
TREASURER, DIRECTOR
5164 E PONCE DE LEON AVE APT X
STONE MOUNTAIN GA 30083

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 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 RODRICK BARNES
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/27/2021

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