FORM 1023-EZ for GOOD DAD

Field Data
EIN 86-1700302
Case Number EO-2021096-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD DAD
Organization’s Mailing Address 462 SANDALWOOD DR
City HIXSON
State TN
ZIP 37343
Accounting period End 12
Primary contact name KACY HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KACY HENDERSON
PRESIDENT
462 SANDALWOOD DR
HIXSON TN 37343

Officer/Director/Trustee Two

AMANDA GARIEPY
SECRETARY
309 MORNING SIDE DR
ROSSVILLE GA 30741

Officer/Director/Trustee Three

MARQUISE GRIFFIN
DIRECTOR-COMMUNITY OUTREACH
14 WATERFORD ST
CHATTANOOGA TN 37416

Organization’s website WWW.GOODDAD.LIFE
Organization’s email KACY@GOODDAD.LIFE
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 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 KACY HENDERSON
Signature Title PRESIDENT
Signature Date 3/8/2021

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