FORM 1023-EZ for NATIONAL SERVICE CHARITY INC

Field Data
EIN 27-0922957
Case Number EO-2016322-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL SERVICE CHARITY INC
Organization’s Mailing Address 1702 MACY DRIVE
City ROSWELL
State GA
ZIP 30076
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT MERCER LOCKE
PRESIDENT
1702 MACY DRIVE
RPSWELL GA 30076

Officer/Director/Trustee Two

DENISE DIMBATH
TREASURER
10800 ALPHARETTA HWY APT 208-714
ROSWELL GA 30076

Officer/Director/Trustee Three

JAMES PRICE
SECRETARY
1806 ADAGIO DRIVE
ALPHARETTA GA 30009

Organization’s website HTTP://NATIONALSERVICECHARITY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2009
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations 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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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