FORM 1023-EZ for THE VILLAGE FOSTER CARE AND ADOPTIVE MINISTRY

Field Data
EIN 85-2776110
Case Number EO-2020258-000552
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE VILLAGE FOSTER CARE AND ADOPTIVE MINISTRY
Organization’s Mailing Address 9209 LEE ROAD 246
City SMITHS STATION
State AL
ZIP 36877
Accounting period End 12
Primary contact name ROBERT R LOMAX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSIE DENNEY
PRESIDENT
312 LEE ROAD 313
SMITHS STATION AL 36877

Officer/Director/Trustee Two

PATTI BROWN
VICE PRESIDENT
286 LEE ROAD 249
SMITHS STATION AL 36874

Officer/Director/Trustee Three

KRISTEN GALLATIN
VICE PRESIDENT
7869 GA HWY 219
FORTSON GA 31808

Officer/Director/Trustee Four

RACHAEL BEASLEY
SECRETARY
1916 TRANQUIL LANE
PHENIX CITY AL 36867

Officer/Director/Trustee Five

FAYE BROWN
TREASURER
1055 LEE ROAD 424
SALEM AL 36874

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 CASSIE DENNEY
Signature Title PRESIDENT
Signature Date 9/11/2020

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