FORM 1023-EZ for EBENEZER CEMETERY ASSOCIATION INC

Field Data
EIN 36-4953455
Case Number EO-2020303-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EBENEZER CEMETERY ASSOCIATION INC
Organization’s Mailing Address PO BOX 1417
City FAYETTEVILLE
State GA
ZIP 30214
Accounting period End 12
Primary contact name PATRICIA BANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA BANKS
PRESIDENT
1070 HWY 54 W
FAYETTEVILLE GA 30214

Officer/Director/Trustee Two

BOBBY MOTE
SECRETARY
91 DINGLER RD
MORELAND GA 30259

Officer/Director/Trustee Three

MATT DOOLEY
TREASURER
579 MASK RD
BROOKS GA 30205

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICIA BANKS
Signature Title PRESIDENT
Signature Date 10/27/2020

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