FORM 1023-EZ for FORTIFY INC

Field Data
EIN 82-4025003
Case Number EO-2018053-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORTIFY INC
Organization’s Mailing Address 101 MCKINLEY DRIVE
City GRIFFIN
State GA
ZIP 30224
Accounting period End 12
Primary contact name KIMBERLY PENDLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY PENDLETON
PRESIDENT
101 MCKINLEY DRIVE
GRIFFIN GA 30224

Officer/Director/Trustee Two

RONNIE CRUM
VICE PRESIDENT
1738 WESTMINSTER CIRCLE
GRIFFIN GA 30223

Officer/Director/Trustee Three

MICHAEL PENDLETON
SECRETARY / TREASURER
101 MCKINLEY DRIVE
GRIFFIN GA 30224

Organization’s website WWW.FORTIFYGA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support N.E.C.
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 Yes
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 KIMBERLY PENDLETON
Signature Title PRESIDENT
Signature Date 2/20/18

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