FORM 1023-EZ for SPRAYBERRY TIP OFF CLUB

Field Data
EIN 80-0867848
Case Number EO-2021062-001227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRAYBERRY TIP OFF CLUB
Organization’s Mailing Address 2525 SANDY PLAINS RD
City MARIETTA
State GA
ZIP 30066
Accounting period End 12
Primary contact name EVELYN J PEDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN JOHNSON
PRESIDENT
2525 SANDY PLAINS RD
MARIETTA GA 30066

Officer/Director/Trustee Two

MICHAEL MARCHESE
DIRECTOR
2525 SANDY PLAINS RD
MARIETTA GA 30066

Officer/Director/Trustee Three

EVELYN PEDERSON
VICE PRESIDENT
2057 KINGSWOOD DRIVE
MARIETTA GA 30066

Officer/Director/Trustee Four

PATRIA BROWN
TREASURER
2525 SANDY PLAINS RD
MARIETTA GA 30066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EVELYN PEDERSON
Signature Title VICE PRESIDENT
Signature Date 1/4/2021

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