FORM 1023-EZ for FORGOTTEN MAN INC

Field Data
EIN 82-4505640
Case Number EO-2018060-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORGOTTEN MAN INC
Organization’s Mailing Address 5465 HIGHWAY 42
City ELLENWOOD
State GA
ZIP 30294
Accounting period End 12
Primary contact name COREY NOBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY NOBLE
CHAIRMAN OF THE BOARD/PRESIDENT
892 SLASH PINE RD
FOREST PARK GA 30297-4127

Officer/Director/Trustee Two

OMENECIA BOWDRY
TREASURER
904 SLASH PINE RD
FOREST PARK GA 30297-4127

Officer/Director/Trustee Three

SHANIETRIA TAYLOR
SECRETARY
1050 ROCK QUARRY RD APT 31
STOCKBRIDGE GA 30281

Organization’s website
Organization’s email FORGOTTENMANINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 COREY NOBLE
Signature Title CHAIRMAN OF THE BOARD/PRESIDENT
Signature Date 2/27/18

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