FORM 1023-EZ for BLECKLEY CHRISTRIAN LEARNING CENTERINC

Field Data
EIN 81-3887514
Case Number EO-2017138-000423
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLECKLEY CHRISTRIAN LEARNING CENTERINC
Organization’s Mailing Address 149 DUSKIN DR
City COCHRAN
State GA
ZIP 31014
Accounting period End 12
Primary contact name ANN SHEPHERD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON GILES
PRESIDENT
149 DUSKIN DRIVE
COCHRAN GA 31014

Officer/Director/Trustee Two

JAIME CUNEO
VICE PRESIDENT
107 MYRTLE STREET
COCHRAN GA 31014

Officer/Director/Trustee Three

JED EVANS
TREASURER
230 DAISY ADAMS ROAD
COCHRAN GA 31014

Officer/Director/Trustee Four

BECKY KIRKPATRICK
SECRETARY
317 JONES ROAD
COCHRAN GA 31014

Officer/Director/Trustee Five

DR JAY THORNTON
DIRECTOR
269 GEORGIA HWY 87 S
COCHRAN GA 31014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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