FORM 1023-EZ for POLK COUNTY COUNCIL FOR CHILDREN AND FAMILIES INC

Field Data
EIN 58-2188725
Case Number EO-2019136-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLK COUNTY COUNCIL FOR CHILDREN AND FAMILIES INC
Organization’s Mailing Address 424 N MAIN STREET SUITE 1
City CEDARTOWN
State GA
ZIP 30125
Accounting period End 12
Primary contact name RHONDA HEUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHONDA HEUER
CHIEF EXECUTIVE
424 N MAIN STREET SUITE 1
CEDARTOWN GA 30125

Officer/Director/Trustee Two

SCOTTIE WORTHINGTON
SECRETARY TREASURER
424 N MAIN ST SUITE 1
CEDARTOWN GA 30125

Officer/Director/Trustee Three

MALINDY ELY
BOARD CHAIR
424 N MIN STREET SUITE 1
CEDARTOWN GA 30125

Officer/Director/Trustee Four

GREG TEEMS
BOARD MEMBER
424 N MAIN ST SUITE 1
CEDARTOWN GA 30125

Officer/Director/Trustee Five

SUSAN OLLIS
BOARD MEMBER
424 N MAIN ST SUITE 1
CEDARTOWN GA 30125

Organization’s website POLK.GAFCP.ORG
Organization’s email ADMIN@POLKCOUNCIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/95
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name RHONDA HEUER
Signature Title CHIEF EXECUTIVE
Signature Date 5/14/19

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