FORM 1023-EZ for BEHAVIORAL PEDIATRICS RESOURCE CENTER INC
| Field | Data |
|---|---|
| EIN | 83-1775765 |
| Case Number | EO-2019037-000647 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BEHAVIORAL PEDIATRICS RESOURCE CENTER INC |
| Organization’s Mailing Address | 406 SAVANNAH AVE |
| City | STATESBORO |
| State | GA |
| ZIP | 30458-5102 |
| Accounting period End | 6 |
| Primary contact name | MICHELLE ZEANAH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GEORGE ROUNTREE
PRESIDENT
26 NORTH MAIN ST
STATESBORO GA 30458-1300
Officer/Director/Trustee Two
PHYLLIS THOMPSON
TREASURER
134 OAK HILL DRIVE
STATESBORO GA 30458-9117
Officer/Director/Trustee Three
RUTH CRIDER
BOARD MEMBER
1225 PLANTATION CIRCLE
STATESBORO GA 30458-8694
Officer/Director/Trustee Four
DAYLE BURNS
BOARD MEMBER
5829 CLYO KILDARE RD
NEWINGTON GA 30446-2015
Officer/Director/Trustee Five
ELAINE NORTON
BOARD MEMBER
PO BOX 727
STATESBORO GA 30459-727
| Organization’s website | WWW.BEHAVIORAL-PEDIATRICS.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/27/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F70 - Mental Health Disorders |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | PHYLLIS THOMPSON |
| Signature Title | TREASURER |
| Signature Date | 1/28/19 |
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