FORM 1023-EZ for INITIATIVE TO PREVENT SEXUAL ABUSE INC

Field Data
EIN 81-3298848
Case Number EO-2016294-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INITIATIVE TO PREVENT SEXUAL ABUSE INC
Organization’s Mailing Address 740 MOUNT VERNON CHURCH ROAD
City JACKSON
State GA
ZIP 30248
Accounting period End 12
Primary contact name LORRAINE MADDOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE WOODALL
PRESIDENT
130 CARDELL FARMS
LOCUST GROVE GA 30248-3238

Officer/Director/Trustee Two

LARRY MORGAN
TREASURER
190 MORGAN ROAD
JACKSON GA 30233-4200

Officer/Director/Trustee Three

LORRAINE MADDOX
SECRETARY
740 MOUNT VERNON CHURCH RD
JACKSON GA 30233-5933

Officer/Director/Trustee Four

PATRICIA HEAD
DIRECTOR
454 HIGGINS ROAD LOT 14
JACKSON GA 30233-6705

Officer/Director/Trustee Five

ANN-MARIE POPE
DIRECTOR
14660 HIGHWAY 36
COVINGTON GA 30014-5605

Organization’s website
Organization’s email LORRAINEMADDOX2016@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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