FORM 1023-EZ for CONCERNED CITIZENS OF DALTON INC

Field Data
EIN 26-0858003
Case Number EO-2015169-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCERNED CITIZENS OF DALTON INC
Organization’s Mailing Address 508 SHUGART RD
City DALTON
State GA
ZIP 30720
Accounting period End 12
Primary contact name BUDDY M ELLIS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LANNY COOPER
PRESIDENT
508 SHUGART RD
DALTON GA 30720

Officer/Director/Trustee Two

HORACE MOORE
VICE PRESIDENT
217 BROOKSTONE DR
CALHOUN GA 30701

Officer/Director/Trustee Three

MYRA BAKER
SECRETARY
PO BOX 505
TUNNEL HILL GA 30755

Officer/Director/Trustee Four

JOYCE COOPER
TREASURER
805 HERITAGE CIRCLE
DALTON GA 30721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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