FORM 1023-EZ for SERVE AND RETURN FOUNDATION INC

Field Data
EIN 46-5351001
Case Number EO-2014268-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVE AND RETURN FOUNDATION INC
Organization’s Mailing Address 296 NICKAJACK RD SE
City MABLETON
State GA
ZIP 30126-5817
Accounting period End 3
Primary contact name DANIEL CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANNY CARLSON
PRESIDENT
296 NICKAJACK RD SE
MABLETON GA 30126-5817

Officer/Director/Trustee Two

TERRY FLYNN
SECRETARY
460 RIVERLOOK PKY 107
MARIETTA GA 30067

Officer/Director/Trustee Three

LAURA CUNNINGHAM
TREASURER
1850 COTILLION DR APT 2203
ATLANTA GA 30338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
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
Signature Title
Signature Date

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