FORM 1023-EZ for PEACH CONCERNED CITIZENS INC

Field Data
EIN 83-1111184
Case Number EO-2018220-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEACH CONCERNED CITIZENS INC
Organization’s Mailing Address 489 MATHEWS RD
City FORT VALLEY
State GA
ZIP 31030-5272
Accounting period End 12
Primary contact name KATTIE VINSON KENDRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATTIE KENDRICK
EXECUTIVE DIRECTOR, CHAIR
489 MATHEWS RD
FORT VALLEY GA 31030-5272

Officer/Director/Trustee Two

JOYCE SNEAD
TREASURER
2840 CAMP JOHN HOPE RD
FORT VALLEY GA 31030-6420

Officer/Director/Trustee Three

DOROTHY CRUMBLEY
DIRECTOR
161 ABERCORN ST
WARNER ROBINS GA 31088-6789

Officer/Director/Trustee Four

MARY ANN VAN HARTESVELDT
DIR
209 OAK STREET
FORT VALLEY GA 31030-3070

Officer/Director/Trustee Five

SHALUNDA WILLIAMS
DIR
109 CALEB WAY
BYRON GA 31088-3825

Organization’s website
Organization’s email KJVRAINIER1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R40 - Voter Education, Registration
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATTIE KENDRICK
Signature Title EXECUTIVE DIRECTOR, CHAIR
Signature Date 8/4/18

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