FORM 1023-EZ for FRIENDS OF 40 INC

Field Data
EIN 45-4288238
Case Number EO-2015258-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF 40 INC
Organization’s Mailing Address PO BOX 737
City PINE MOUNTAIN
State GA
ZIP 31822
Accounting period End 12
Primary contact name JOHN BRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MILTON SMITH
CHAIR
4548 GA HWY 354
PINE MOUTAIN GA 31822

Officer/Director/Trustee Two

DEREK KENNEDY
SEC
248 PLUMFIELD DR
PINE MOUNTAIN GA 31822

Officer/Director/Trustee Three

MACK CLEMENTS
BD MEMBER
PO BOX 516
PINE MOUNTAIN GA 31822

Officer/Director/Trustee Four

CHARLES KIMBROUGH
BD MEMBER
PO BOX 728
PINE MOUNTAIN GA 31822

Officer/Director/Trustee Five

JOHN BRITT
BD MEMBER
173 WATKINS RD
FORTSON GA 31822

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2011
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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