FORM 1023-EZ for CHARLES S PETTIS SR SUPPORTING KNOWLEDGE FOR YOUTH EXPERIENCE
| Field | Data |
|---|---|
| EIN | 32-0578050 |
| Case Number | EO-2021250-000320 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHARLES S PETTIS SR SUPPORTING KNOWLEDGE FOR YOUTH EXPERIENCE |
| Organization’s Mailing Address | 658 WIRE RD SW |
| City | THOMSON |
| State | GA |
| ZIP | 30824 |
| Accounting period End | 12 |
| Primary contact name | JANE PETTIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JANE PETTIS
CEO
658 WIRE RD SW
THOMSON GA 30824
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/8/2018 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B90 - Educational Services and Schools - Other |
| 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 | 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JANE PETTIS |
| Signature Title | CEO |
| Signature Date | 9/2/2021 |
| EIN | 32-0578050 |
| Case Number | EO-2019115-000246 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHARLES S PETTIS SR SUPPORTING KNOWLEDGE FOR YOUTH EXPERIENCE NON-PROF |
| Organization’s Mailing Address | 658 WIRE RD SW |
| City | THOMSON |
| State | GA |
| ZIP | 30824 |
| Accounting period End | 12 |
| Primary contact name | DEMETRIUS T ABRAHAM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JANE PETTIS
CEO
658 WIRE RD
THOMSON GA 30824
Officer/Director/Trustee Two
JESSIE WILSON
SECRETARY
204 ROSEWOOD AVE
THOMSON GA 30824
Officer/Director/Trustee Three
MARY BELTON
CFO
320 WALNUT ST
THOMSON GA 30824
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/8/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B90 - Educational Services and Schools - Other |
| 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 | 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 | 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 | JANE PETTIS |
| Signature Title | CEO |
| Signature Date | 4/23/19 |
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