FORM 1023-EZ for TEENS R US GIRLS CLUB INC

Field Data
EIN 58-2372883
Case Number EO-2021193-000663
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEENS R US GIRLS CLUB INC
Organization’s Mailing Address PO BOX 3194
City LAGRANGE
State GA
ZIP 30241
Accounting period End 12
Primary contact name MONTEST CAMERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONTEST CAMERON
CEO
517 EVEREST ST
LAGRANGE GA 30240

Officer/Director/Trustee Two

CARLTON CAMERON
VICE PRESIDENT
517 EVERST ST
LAGRANGE GA 30240

Officer/Director/Trustee Three

MONICA HILL
SECRETARY TREASURER
517 EVEREST ST
LAGRANGE GA 30240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2005
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 MONTEST CAMERON
Signature Title CEO
Signature Date 7/8/2021

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