FORM 1023-EZ for FAMILY BRIDGE VISITATION AND COMMUNITY SERVICES CENTER

Field Data
EIN 47-5392229
Case Number EO-2016053-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY BRIDGE VISITATION AND COMMUNITY SERVICES CENTER
Organization’s Mailing Address 3584 MILLER STREET
City LITHIA SPRINGS
State GA
ZIP 30122
Accounting period End 12
Primary contact name JOY BATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOY BATES
PRESIDENT
1454 CAVE SPRINGS ROAD
DOUGLASVILLE GA 30134

Officer/Director/Trustee Two

ANN MATHIS
VICE PRESIDENT
17 ESASKY COURT
CARROLLTON GA 30116

Officer/Director/Trustee Three

KENDRA WHATLEY
SECRETARY
3052 WILKES PLANTATION WAY
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

SONYA COMPTON
TREASURER
PO BOX 5761
DOUGLASVILLE GA 30154

Officer/Director/Trustee Five

MARTHA BOURGEOIS
BOARD MEMBER
9325 PARKWOOD AVE
DOUGLASVILLE GA 30135

Organization’s website FAMILYBRIDGECVC.ORG
Organization’s email INFO@FAMILYBRIDGECVC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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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