| Field | Data |
|---|---|
| EIN | 45-1611568 |
| Case Number | EO-2014227-000127 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GEORGIA B WILLIAMS NURSING HOME INCORPORATION |
| Organization’s Mailing Address | 1081 WILLOW ST |
| City | WOODVILLE |
| State | GA |
| ZIP | 30669 |
| Accounting period End | 11 |
| Primary contact name | JACQUELYN BRISCOE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
MARY JO HAYWOOD
PRESIDENT
205 N BUTLER ST
CAMILLA GA 31730-1941
VIVIAN G SMITH
TREASURER
193 WALKER ST
CAMILLA GA 31730-1941
SHIRLEY BROWN
SECRETARY
248 PEACHTREE ST
CAMILLA GA 31730-1941
GRACIE TOOMBS
CO TREASURER
P O BOX 221
CAMILLA GA 31779
JACQUELYN BRISCOE
CONTACT AGENT
1081 WILLOW ST
WOODVILLE GA 30669-9998
| Organization’s website | WWW.GBWNURSINGHOME.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/14/2011 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A54 - History Museums |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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