FORM 1023-EZ for CHATTOOGA COUNTY FOSTER AND ADOPTIVE PARENT ASSOCIATION

Field Data
EIN 81-1572887
Case Number EO-2016253-000409
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHATTOOGA COUNTY FOSTER AND ADOPTIVE PARENT ASSOCIATION
Organization’s Mailing Address 368 BROOKS ROAD
City SUMMERVILLE
State GA
ZIP 30747
Accounting period End 12
Primary contact name MEREDITH ROSSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA HUTCHINS
PRESIDENT
144 HUTCHINS ROAD
SUMMERVILLE GA 30747-6423

Officer/Director/Trustee Two

LARITA BURKE
VICE PRESIDENT
28 ROWLLS ROAD
LYERLY GA 30730-5011

Officer/Director/Trustee Three

MEREDITH ROSSON
SECRETARY
368 BROOKS ROAD
SUMMERVILLE GA 30747-5554

Officer/Director/Trustee Four

MELISSA MORGAN
CO-TREASURER
672 AIRPORT ROAD
TRION GA 30753-5033

Officer/Director/Trustee Five

BREEZY HENDERSON
CO-TREASURER
1440 ORCHID HILL ROAD
SUMMERVILLE GA 30747-6559

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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