FORM 1023-EZ for BANKS-JACKSON FOOD BANK INC

Field Data
EIN 58-1506991
Case Number EO-2016244-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BANKS-JACKSON FOOD BANK INC
Organization’s Mailing Address PO BOX 25
City COMMERCE
State GA
ZIP 30529-0001
Accounting period End 12
Primary contact name ROGER DARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER DARR
CHAIRMAN OF BOARD
684 REECE DR
HOSCHTON GA 30548

Officer/Director/Trustee Two

CINDY TAYLOR
SECRETARY
135 BOONE RD
MAYSVILLE GA 30558

Officer/Director/Trustee Three

PATTI BEARDEN
TREASURER
2329 WATERWORKS RD
COMMERCE GA 30529

Organization’s website
Organization’s email BANKSJACKSONFOODBANK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/1982
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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