FORM 1023-EZ for FITZGERALD BEN HILL COUNTY POLICY COUNCIL FOR CHILDREN AND FAMILIES

Field Data
EIN 83-3339845
Case Number EO-2019044-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FITZGERALD BEN HILL COUNTY POLICY COUNCIL FOR CHILDREN AND FAMILIES
Organization’s Mailing Address PO BOX 5125
City FITZGERALD
State GA
ZIP 31750
Accounting period End 6
Primary contact name CHRISTINE GRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANESSA MELTON
BOARD CHAIRPERSON
PO BOX 804
FITZGERALD GA 31750-804

Officer/Director/Trustee Two

SHAWN HARALSON
VICE CHAIRPERSON
509 WEST PALM STREET
FITZGERALD GA 31750

Officer/Director/Trustee Three

KATHY YOUNG
TREASURER
302 E CENTRAL AVE
FITZGERALD GA 31750

Officer/Director/Trustee Four

BECKY GAY
SECRETARY
PO BOX 362
FITZGERALD GA 31750

Officer/Director/Trustee Five

CHRISTINE GRAHAM
DIRECTOR
PO BOX 5125
FITZGERALD GA 31750

Organization’s website HTTP://BENHILL.GAFCP.ORG/
Organization’s email BENHILLFC@MCHSI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/02
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 CHRISTINE GRAHAM
Signature Title DIRECTOR
Signature Date 2/11/19

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