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PRESIDENT 10.00 50000 0 0 SHARON DELOACH P O BOX 128 CLAXTON GA 30417 SECRETARY/TREASURER 10.00 50000 0 0 JAMES W GODBEE JR P O BOX 2241 VALDOSTA GA 31604 PRESIDENT 10.00 0 0 0 NONE 0 NONE 0 0 36771857 361186 0 37133043 0 0 37133043 556996 36576047 1828802 1828802 23085 23085 1805717 0 1805717 0 1805717 2916923 0 2916923 1805717 0 0 349915 558505 1492258 422315 1650396 4473389 2916923 0 0 0 1805717 1111206 0 0 5584595 0 0 0 0 0 0 349915 5234680 558505 1492258 422315 1650396 1111206 SHARON DELOACH PO BOX 2241 VALDOSTA GA 316042241 9127393733 SDELOACH@EVANSCONCRETE.COM APPLICANTS SHOULD SUBMIT A DONATION REQUEST FORM INCLUDING THEIR GENERAL INFORMATION AND TAX ID NUMBER, A COPY OF THE 501(C)(3) DETERMINATION LETTER, A BRIEF DESCRIPTION OF THE MISSION, AND A DESCRIPTION OF THE DONATION REQUEST. 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ARTS & CULTURAL AUTHORITY OF CLAXTON AND EVANS COUNTY 302 W RAILROAD ST CLAXTON GA 30417 NONE PC GENERAL FUND 1119923 BOYS AND GIRLS CLUB 3628 LAKE LAURIE DRIVE VALDOSTA GA 31605 NONE PC GENERAL FUND 30000 BREWTON CEMETERY 6901 US-280 CLAXTON GA 30417 NONE PC GENERAL FUND 15000 BREWTON-PARKER COLLEGE 201 DAVID-ELIZA FOUNTAIN CIR MT VERNON GA 30445 NONE PC GENERAL FUND 100000 CARES PO BOX 667 CLAXTON GA 30417 NONE PC GENERAL FUND 1500 CAMP ROCK OF GEORGIA INC PO BOX 1528 VALDOSTA GA 31603 NONE PC GENERAL FUND 25000 CLAXTON EVANS COUNTY ECONOMIC DEVELOPMENT AUTHORITY 302 W RAILROAD ST CLAXTON GA 30417 NONE PC GENERAL FUND 20000 COMMUNITY SUPPORT CENTER PO BOX 95 GLENNVILLE GA 30427 NONE PC GENERAL FUND 21000 EVANS COUNTY BOARD OF COMMISSIONERS 3 FREEMAN ST CLAXTON GA 30417 NONE PC GENERAL FUND 31500 EVANS COUNTY CHRISTIAN LEARNING CENTER 108 S PETERS STREET CLAXTON GA 30417 NONE PC GENERAL FUND 84650 EVANS MEMORIAL HOSPITAL INC 200 N RIVER STREET CLAXTON GA 30417 NONE PC GENERAL FUND 250000 GEORGIA CHRISTIAN SCHOOL 4359 DASHER ROAD VALDOSTA GA 31601 NONE PC GENERAL FUND 25000 GODS STORE HOUSE 300 MCINTOSH ST A VIDALIA GA 30474 NONE PC GENERAL FUND 12500 LIVING BRIDGES 9302 DAVIDSON RD PMB 175 MOODY AFB GA 31699 NONE PC GENERAL FUND 5000 LOWNDESVALDOSTA ARTS COMMISSION 512 NORTH ASHLEY STREET VALDOSTA GA 31601 NONE PC GENERAL FUND 30000 MAYO CLINIC FOUNDATION 200 FIRST ST SW ROCHESTER MN 55905 NONE PC GENERAL FUND 100000 MERCY MEDICAL CLINIC & FOUNDATION 714-1 NW BROAD ST LYONS GA 30436 NONE PC GENERAL FUND 25000 NORTH BRYAN CHRISTIAN LEARNING CENTER PO BOX 799 BLACK CREEK GA 31308 NONE PC GENERAL FUND 20000 OGEECHEE TECHNICAL COLLEGE FOUNDATION ONE JOSEPH E KENNEDY BLVD STATESBORO GA 30458 NONE PC GENERAL FUND 250000 PAUL ANDERSON YOUTH HOME 1603 MCINTOSH STREET VIDALIA GA 30474 NONE PC GENERAL FUND 100000 PINEWOOD CHRISTIAN ACADEMY N HENRY STREET BELLVILLE GA 30414 NONE PC GENERAL FUND 100000 REACH GEORGIA FOUNDATION INC 2082 E TUCKER PLACE TUCKER GA 30084 NONE PC GENERAL FUND 10000 RESCUE MISSION OF MIDDLE GEORGIA 774 HAZEL ST MACON GA 31201 NONE PC GENERAL FUND 5000 SOUTHEASTERN TECHNICAL COLLEGE 3001 E 1ST ST VIDALIA GA 30474 NONE PC GENERAL FUND 100000 STATESBORO REGIONAL SEXUAL ASSAULT CENTER 209 SOUTH COLLEGE STREET STATESBORO GA 30458 NONE PC GENERAL FUND 25000 SWEET ONION CHRISTIAN LEARNING CENTER INC PO BOX 152 MOUNT VERNON GA 30445 NONE PC GENERAL FUND 30000 TATTNALL COUNTY BOARD OF EDUCATION PO BOX 157 REIDSVILLE GA 30453 NONE PC GENERAL FUND 7500 TRUETT MCCONNELL UNIVERSITY 100 ALUMNI DR CLEVELAND GA 30528 NONE PC GENERAL FUND 25000 VALWOOD SCHOOL 4380 OLD US 41 N HAHIRA GA 31632 NONE PC GENERAL FUND 100000 WIREGRASS GEORGIA TECHNICAL COLLEGE 4089 VAL TECH RD VALDOSTA GA 31602 NONE PC GENERAL FUND 50000 WOUNDED WARRIORS RETREAT 8722 ELAM CHURCH RD NORWOOD GA 30821 NONE PC GENERAL FUND 40000 YOUTH IMPACT CENTER L01 0-013 LAKELAND GA 31635 NONE PC GENERAL FUND 15000 EVANS COUNTY 4-H 102 DANIEL STREET CLAXTON GA 30417 NONE PC GENERAL FUND 5000 FAMILIES 4 FAMILIES 3915 HARRISON RD STE 500 LOGANVILLE GA 30052 NONE PC GENERAL FUND 50000 GOOD HEALTH MINISTRIES PO BOX 158 CLAXTON GA 30417 NONE PC GENERAL FUND 42000 ROBERT TOOMBS CHRISTIAN ACADEMY 628 W OGLETHORPE AVE LYONS GA 30436 NONE PC GENERAL FUND 46350 2916923 0 14 884478 18 1025245 0 1909723 0 1909723 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 62684 31342 0 EQUITY INVESTMENTS 23696557 37425301 SOUTHERN BANKSHARES, INC. 791470 940000 BANK CHARGES 174 174 0 PAYROLL FEES 500 0 0 BOOK TO MARKET DIFFERENCES ON SECURITIES SOLD 477 NONDIVIDEND DISTRIBUTIONS 4939 MERRILL LYNCH INVESTMENT MANAGEMENT FEES 81565 81565 0 CHARLES SCHWAB INVESTMENT MANAGEMENT FEES 126474 126474 0 FOREIGN TAXES PAID 9410 9410 0 PAYROLL TAXES PAID 8868 0 0 EXCISE TAX 48023 0 0