FORM 1023-EZ for LIBERTY COUNTY HOMELESS COALITION

Field Data
EIN 81-4534030
Case Number EO-2017026-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIBERTY COUNTY HOMELESS COALITION
Organization’s Mailing Address PO BOX 656
City HINESVILLE
State GA
ZIP 31310-0656
Accounting period End 12
Primary contact name JAMES MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MCINTOSH
PRESIDENT
599 FRANKLIN STREET
HINESVILLE GA 31313

Officer/Director/Trustee Two

DOUGLAS HARN
VICE PRESIDENT
211 ELIZABETH ST
HINESVILLE GA 31313

Officer/Director/Trustee Three

ADNA R CHAFFEE
TREASURER
116 WINDHAVEN DR
HINESVILLE GA 31313

Officer/Director/Trustee Four

MELINDA SCHNEIDER
SECRETARY
539 SUNSHINE LAKE RD
MIDWAY GA 31320

Officer/Director/Trustee Five

RICHARD BRAUN
LEGAL COUNCIL
206 EAST COURT ST
HINESVILLE GA 31313

Organization’s website
Organization’s email LIBERTYHOMELESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2009
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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