FORM 1023-EZ for THE RAVEN INSTITUTE INC

Field Data
EIN 81-4624915
Case Number EO-2017067-000640
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RAVEN INSTITUTE INC
Organization’s Mailing Address 40 E ACADEMY ST SUITE 826
City LUDOWICI
State GA
ZIP 31316
Accounting period End 12
Primary contact name TROY FOSKEY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY FOSKEY JR
DIRECTOR
40 E ACADEMY ST SUITE 826
LUDOWICI GA 31316

Officer/Director/Trustee Two

MELISSA JENKINS
ASSISTANT DIRECTOR
40 E ACADEMY ST SUITE 405
LUDOWICI GA 31316

Officer/Director/Trustee Three

HEATHER RHYMES
DIRECTOR OF PATIENT RELATIONS
296 DERBY RUN NE
LUDOWICI GA 31316

Organization’s website WWW.THERAVENINSTITUTEINC.ORG
Organization’s email THERAVENINSTITUTE@HUSHMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
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
Signature Title
Signature Date

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