FORM 1023-EZ for REFORM GEORGIA INC

Field Data
EIN 83-1122725
Case Number EO-2019092-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REFORM GEORGIA INC
Organization’s Mailing Address 1313 ROGERS ST
City SAVANNAH
State GA
ZIP 31415
Accounting period End 7
Primary contact name MAXWELL RUPPERSBURG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARBY COX
CEO
1313 ROGERS ST
SAVANNAH GA 31415

Officer/Director/Trustee Two

CASS ODUM
SECRETARY
1313 ROGERS ST
SAVANNAH GA 31415

Officer/Director/Trustee Three

CARL LEWIS
CFO
1313 ROGERS ST
SAVANNAH GA 31415

Officer/Director/Trustee Four

MAXWELL RUPPERSBURG
EXECUTIVE DIRECTOR
3007 WINDCLIFF DR SE
MARIETTA GA 30067

Organization’s website WWW.REFORMGEORGIA.ORG
Organization’s email MAXWELL@REFORMGEORGIA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
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 MAXWELL RUPPERSBURG
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/29/19

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