FORM 1023-EZ for COLT D CHAMBERS FOUNDATION INC

Field Data
EIN 82-2629058
Case Number EO-2018080-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLT D CHAMBERS FOUNDATION INC
Organization’s Mailing Address 352
City CAVE SPRING
State GA
ZIP 30124
Accounting period End 12
Primary contact name COLT CHAMBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLT CHAMBERS
CHAIRMAN
PO BOX 352
CAVE SPRING GA 30124

Officer/Director/Trustee Two

JANICE DUKE
DIRECTOR
274 HENDRIX ROAD
ROCKMART GA 30153

Officer/Director/Trustee Three

DOUGLAS CHAMBERS
DIRECTOR
1985 OLD JACKSON CHAPEL ROAD
CEDARTOWN GA 30125

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COLT CHAMBERS
Signature Title CHAIRMAN
Signature Date 3/19/18

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