FORM 1023-EZ for GEORGIA EMERGENCY MEDICAL SERVICESPREPAREDNESS FOUNDATION

Field Data
EIN 26-1806684
Case Number EO-2015096-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GEORGIA EMERGENCY MEDICAL SERVICESPREPAREDNESS FOUNDATION
Organization’s Mailing Address 3760 TRAMORE POINTE PARKWAY
City AUSTELL
State GA
ZIP 30106
Accounting period End 12
Primary contact name SHANE GARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRANDON FLETCHER
CHAIRMAN
220 LINCOLN ROAD
FITZGERALD GA 31750

Officer/Director/Trustee Two

SHANE GARRISON
VICE-CHAIRMAN
3760 TRAMORE POINTE PARKWAY
AUSTELL GA 30106

Officer/Director/Trustee Three

DAWN PEEBLES
TREASURER
PO BOX 836
FITZGERALD GA 31750

Officer/Director/Trustee Four

LEE OLIVER
BOARD MEMBER
595 ARMSTRONG STREET
MARIETTA GA 30060

Officer/Director/Trustee Five

KELLY JOINER
BOARD MEMBER
777 HEMLOCK STREET
MACON GA 31201

Organization’s website WWW.GEORGIAEMS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2008
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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