FORM 1023-EZ for BETTERWAY INITIATIVE INC

Field Data
EIN 47-3048995
Case Number EO-2015040-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETTERWAY INITIATIVE INC
Organization’s Mailing Address 230 CHERRY STREET
City DONALSONVILLE
State GA
ZIP 39845
Accounting period End 12
Primary contact name BECKY B WORSHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID MAXWELL
DIRECTOR
213 CHERRY STREET
DONALSONVILLE GA 39845

Officer/Director/Trustee Two

BECKY WORSHAM
DIRECTOR
230 CHERRY STREET
DONALSONVILLE GA 39845

Officer/Director/Trustee Three

BRENDA BROOME
DIRECTOR
8003 E CYPRESS DRIVE
DONALSONVILLE GA 39845

Officer/Director/Trustee Four

MARCUS CARTER
DIRECTOR
3569 HWY 84
DONALSONVILLE GA 39845

Officer/Director/Trustee Five

GLORIA FRANKLIN
DIRECTOR
P O BOX 53
IRON CITY GA 39859

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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