FORM 1023-EZ for BULLOCH-BRYAN CARES INC

Field Data
EIN 47-5165274
Case Number EO-2015279-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BULLOCH-BRYAN CARES INC
Organization’s Mailing Address 1102 LIVE OAK COVE NE
City TOWNSEND
State GA
ZIP 31331
Accounting period End 12
Primary contact name TAMMY LEWIS-CHANEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMMY LEWIS-CHANEY
DIRECTOR
1102 LIVE OAK COVE NE
TOWNSEND GA 31331

Officer/Director/Trustee Two

TRACY COWARD
CO-DIRECTOR
1457 TOM ROGERS ROAD
COLLINS GA 30421

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 No
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
Signature Title
Signature Date

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