FORM 1023-EZ for PARENT JUNIOR GOLF ASSOCIATION INC

Field Data
EIN 47-3116790
Case Number EO-2015049-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARENT JUNIOR GOLF ASSOCIATION INC
Organization’s Mailing Address 1294 ASHWORTH AVENUE
City MARIETTA
State GA
ZIP 30064
Accounting period End 12
Primary contact name BLYTHE BRAKEVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BLYTHE BRAKEVILLE
PRESIDENT/CEO
3531 KENNESAW STATION DRIVE
KENNESAW GA 30144

Officer/Director/Trustee Two

ROSS BRAKEVILLE
CHAIRMAN
1294 ASHWORTH AVENUE
MARIETTA GA 30064

Officer/Director/Trustee Three

ALLISON BRAKEVILLE
VICE CHAIRMAN
1294 ASHWORTH AVENUE
MARIETTA GA 30064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N03 - Professional Societies, Associations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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