FORM 1023-EZ for LITHIA LIONS DIAMOND BASEBALL BOOSTER CLUB INC RESTATED ARTICLES

Field Data
EIN 81-1517265
Case Number EO-2016194-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITHIA LIONS DIAMOND BASEBALL BOOSTER CLUB INC RESTATED ARTICLES
Organization’s Mailing Address 1092 MELROSE PLACE
City DOUGLASVILLE
State GA
ZIP 30134
Accounting period End 6
Primary contact name PEGGY LEWIS KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY KENNEDY
PRESIDENT
1092 MELROSE PLACE
DOUGLASVILLE GA 30134

Officer/Director/Trustee Two

IRA DORIN
VICE-PRESIDENT
3066 W COUNTY LINE RD
LITHIA SPRINGS GA 30232

Officer/Director/Trustee Three

STEPHANIE HOLT
SECRETARY
939 LONGBRANCH LN
DOUGLASVILLE GA 30134

Officer/Director/Trustee Four

LISA HOWELL
TREASURER
3460 W COUNTY LINE RD
DOUGLASVILLE GA 30135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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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