FORM 1023-EZ for CONVOY FOR CARE INC

Field Data
EIN 82-4128118
Case Number EO-2018026-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONVOY FOR CARE INC
Organization’s Mailing Address 116 COLLEGE STREET
City ADAIRSVILLE
State GA
ZIP 30103
Accounting period End 12
Primary contact name KENNETH COOMER III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH H COOMER
OFFICER
116 COLLEGE STREET
ADAIRSVILLE GA 30120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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 KENNETH H COOMER
Signature Title OFFICER
Signature Date 1/24/18

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