FORM 1023-EZ for FAMILY WELLNESS OUTREACH CENTER OFGEORGIA INC

Field Data
EIN 83-1152579
Case Number EO-2019093-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY WELLNESS OUTREACH CENTER OFGEORGIA INC
Organization’s Mailing Address 413 W BROAD AVE
City ALBANY
State GA
ZIP 31701-2570
Accounting period End 12
Primary contact name CARL H WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL WHITE JR
VICE CHAIRMAN
413
ALBANY GA 31701-2570

Officer/Director/Trustee Two

CARLA HARRELL
SECRETARY
413 W BROAD AVE
ALBANY GA 31701-2570

Officer/Director/Trustee Three

TIFFANY TERRELL
TREASURER
413 W BROAD AVE
ALBANY GA 31701-2570

Officer/Director/Trustee Four

TANYA POWELL
BOARD MEMBER
413 W BROAD AVE
ALBANY GA 31701-2570

Officer/Director/Trustee Five

DARRELL SABBS
EXECUTIVE DIRECTOR
413 W BROAD AVE
ALBANY GA 31701-2570

Organization’s website NA
Organization’s email FWOCGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 CARL WHITE JR
Signature Title VICE CHAIRMAN
Signature Date 3/31/19
EIN 83-1152579
Case Number EO-2019093-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY WELLNESS OUTREACH CENTER OF GEORGIA INC
Organization’s Mailing Address 413 W BROAD AVE
City ALBANY
State GA
ZIP 31701-2570
Accounting period End 12
Primary contact name CARL H WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL WHITE JR
VICE CHAIRMAN
413
ALBANY GA 31701-2570

Officer/Director/Trustee Two

CARLA HARRELL
SECRETARY
413 W BROAD AVE
ALBANY GA 31701-2570

Officer/Director/Trustee Three

TIFFANY TERRELL
TREASURER
413 W BROAD AVE
ALBANY GA 31701-2570

Officer/Director/Trustee Four

TANYA POWELL
BOARD MEMBER
413 W BROAD AVE
ALBANY GA 31701-2570

Officer/Director/Trustee Five

DARRELL SABBS
EXECUTIVE DIRECTOR
413 W BROAD AVE
ALBANY GA 31701-2570

Organization’s website NA
Organization’s email FWOCGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 CARL WHITE JR
Signature Title VICE CHAIRMAN
Signature Date 3/31/19

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