FORM 1023-EZ for DOWN SYNDROME ASSOCIATION OF SOUTH GEORGIA

Field Data
EIN 46-0738460
Case Number EO-2018047-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOWN SYNDROME ASSOCIATION OF SOUTH GEORGIA
Organization’s Mailing Address 5604 BARBER CIRCLE
City HAHIRA
State GA
ZIP 31632
Accounting period End 12
Primary contact name ERIN GASKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN GASKINS
PRESIDENT
5604 BARBER CIRCLE
HAHIRA GA 31632

Officer/Director/Trustee Two

DONNA JOHNSON
VICE-PRESIDENT
3837 BROOKFIELD DRIVE
VALDOSTA GA 31601

Officer/Director/Trustee Three

AMY REAVES
BOARD MEMBER
904 LEMAKA DRIVE
HAHIRA GA 31632

Officer/Director/Trustee Four

CHRISTINA MOORE
OFFICER
5062 FALLING SPRINGS ROAD
VALDOSTA GA 31602

Officer/Director/Trustee Five

JENNIFER GAY
BOARD MEMBER
5014 PHILLIPS ROAD
VALDOSTA GA 31601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/11
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G25 - Down Syndrome
Organization’s purpose Charitable: Yes
Religious: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIN GASKINS
Signature Title PRESIDENT
Signature Date 2/14/18

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