FORM 1023-EZ for BRENT CARTER LEGACY FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 82-4328265 |
| Case Number | EO-2018058-000189 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BRENT CARTER LEGACY FOUNDATION INC |
| Organization’s Mailing Address | 700 WEST PARKER STREET |
| City | BAXLEY |
| State | GA |
| ZIP | 31513 |
| Accounting period End | 12 |
| Primary contact name | KELLY B STONE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DERRICK BARNES
CEO
P O BOX 552
UVALDA GA 30473
Officer/Director/Trustee Two
MICHAEL SHUMANS
VICE PRESIDENT
117 MIKE SHUMANS DRIVE
BAXLEY GA 31513
Officer/Director/Trustee Three
KELLY STONE
TREASURER
700 WEST PARKER STREET
BAXLEY GA 31513
Officer/Director/Trustee Four
KEVIN BOWMAN
SECRETARY
3300 LANG LANE
BROOKLET GA 30415
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/16/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | KELLY STONE |
| Signature Title | TREASURER |
| Signature Date | 2/23/18 |
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