FORM 1023-EZ for GEORGIA LEGISLATIVE BLACK CAUCUS FOUNDATION INC

Field Data
EIN 84-4554410
Case Number EO-2020036-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GEORGIA LEGISLATIVE BLACK CAUCUS FOUNDATION INC
Organization’s Mailing Address 230 PEACHTREE STREET SUITE 1601
City ATLANTA
State GA
ZIP 30303
Accounting period End 12
Primary contact name EDDIE BRIDGEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS DORTCH JR
CHAIRMAN
230 PEACHTREE STREET SUITE 1601
ATLANTA GA 30303

Officer/Director/Trustee Two

CALVIN SMYRE
TREASURER
230 PEACHTREE STREET SUITE 1601
ATLANTA GA 30303

Officer/Director/Trustee Three

SHAWN GRAHAM
SECRETARY
230 PEACHTREE STREET SUITE 1601
ATLANTA GA 30303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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 No
Correctness Declaration Yes
Signature Name THOMAS DORTCH JR
Signature Title CHAIRMAN
Signature Date 2/3/2020

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