FORM 1023-EZ for MILL CREEK HIGH SCHOOL GOLF BOOSTERCLUB INC

Field Data
EIN 20-8552008
Case Number EO-2021167-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILL CREEK HIGH SCHOOL GOLF BOOSTERCLUB INC
Organization’s Mailing Address 4400 BRASELON HWY 124
City MILL CREEK HS GOLF
State GA
ZIP 30548
Accounting period End 4
Primary contact name GARY PENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY PENCE
PRESIDENT
4400 BRASELTON HWY 124
DACULA GA 30548

Officer/Director/Trustee Two

RICK GRAY
TREASURER
4400 BRASELTON HWY 124
MILL CREEK HS GOLF GA 30548

Officer/Director/Trustee Three

LAURA GRAY
VICE
4400 BRASELTON HWY 124
MILL CREEK HS GOLF GA 30548

Organization’s website MILL CREEK HIGH SCHOOL GOLF BOOSTER CLUB INC.
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2010
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name GARY PENCE
Signature Title PRESIDENT
Signature Date 6/14/2021
EIN 20-8552008
Case Number EO-2015043-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILL CREEK HIGH SCHOOL GOLF BOOSTERCLUB INC
Organization’s Mailing Address 4400 BRASELTON HWY 124
City HOSCHTON
State GA
ZIP 30548
Accounting period End 12
Primary contact name GREG MCAFEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD AVERY
CO-PRESIDENT
1490 HIGHLAND FORGE COURT
DACULA GA 30019

Officer/Director/Trustee Two

STACY GLASER
CO-PRESIDENT
2721 FLORAL VALLEY DRIVE
DACULA GA 30019

Officer/Director/Trustee Three

GREG MCAFEE
TREASURER
4135 GABLES PLACE
BUFORD GA 30019

Officer/Director/Trustee Four

KEVIN MARKHAM
SECRETARY
3155 TOWN MANOR
DACULA GA 30019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2006
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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 Yes
One Third Support Gifts No
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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