FORM 1023-EZ for GWINNETT SENIOR LEADERSHIP

Field Data
EIN 47-1927717
Case Number EO-2014274-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GWINNETT SENIOR LEADERSHIP
Organization’s Mailing Address 2055 N BROWN RD STE 150
City LAWRENCEVILLE
State GA
ZIP 30043
Accounting period End 12
Primary contact name LARRY N REED CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILL ATKINSON
CHAIR OF TRUSTEES
2055 N BROWN RD STE 150
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Two

DON SEGARS
TREASURER
2055 N BROWN RD STE 150
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Three

LARRY REED
TRUSTED AND CHAIR OF STEERING CMTTE
447 COOPERS POND DRVIE
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Four

JUDY MCDANIEL
TRUSTEE
2055 N BROWN RD STE 150
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Five

ANNA SHACKLEFORD
TRUSTEE AND PAST CHAIR
2055 N BROWN RD STE 150
LAWRENCEVILLE GA 30043

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1999
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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