FORM 1023-EZ for BLACK HATS

Field Data
EIN 27-1617415
Case Number EO-2018150-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK HATS
Organization’s Mailing Address 8860 MIDLAND WOODS DR
City MIDLAND
State GA
ZIP 31820
Accounting period End 12
Primary contact name TWILA PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANE PALMER
PRESIDENT
8860 MIDLAND WOODS DR
MIDLAND GA 31820

Officer/Director/Trustee Two

MICHAEL DREW
VICE PRESIDENT
2131 LANCASTER DR
COLUMBUS GA 31904

Officer/Director/Trustee Three

TWILA PALMER
SECRETARY
8860 MIDLAND WOODS DR
MIDLAND GA 31820

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/10
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 TWILA PALMER
Signature Title SECRETARY
Signature Date 5/25/18

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