FORM 1023-EZ for GWINNETT LIFE RUN

Field Data
EIN 47-2710115
Case Number EO-2015026-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GWINNETT LIFE RUN
Organization’s Mailing Address 1273 REDEMPTION DRIVE
City LAWRENCEVILLE
State GA
ZIP 30045
Accounting period End 12
Primary contact name ROBIN MAUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBIN MAUCK
DIRECTOR
1273 REDEMPTION DRIVE
LAWRENCEVILLE GA 30045

Officer/Director/Trustee Two

PETER DOUGLASS
ASSISTANT DIRECTOR
545 MOON PLACE ROAD
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Three

LYNNE SIMPSON
SECRETARY
1793 WATERTON TRAIL
GRAYSON GA 30017

Officer/Director/Trustee Four

MIKE MULLER
TREASURER
572 GRASSMEADE WAY
SNELLVILLE GA 30078

Organization’s website WWW.GWINNETTLIFERUN.COM
Organization’s email GWINNETTLIFERUN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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
Signature Title
Signature Date

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