FORM 1023-EZ for CAMP LEGACY GEORGIA INC
| Field | Data |
|---|---|
| EIN | 85-4385200 |
| Case Number | EO-2021056-000487 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMP LEGACY GEORGIA INC |
| Organization’s Mailing Address | 3455PEACHTREE ROAD NE 5TH FL |
| City | ATLANTA |
| State | GA |
| ZIP | 30326 |
| Accounting period End | 12 |
| Primary contact name | SHELLEY ROEBUCK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHELLEY ROEBUCK
PRESIDENT/CEO
831 SHORE DRIVE
LITHONIA GA 30058
Officer/Director/Trustee Two
KEITH TURNER
VICE PRESIDENT
4354 40TH STREET APT 7
SAN DIEGO CA 92105
Officer/Director/Trustee Three
LASHON WATERS
TREASURER
1075 N HAIRSTON ROAD APT D 24
STONE MOUNTAIN GA 30083
Officer/Director/Trustee Four
JANELLE JOE
SECRETARY
8200 SW 22ND STREET UNIT 109
NORTH LAUDERDALE FL 33068
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/13/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A20 - Arts, Cultural Organizations - Multipurpose |
| 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 | SHELLEY ROEBUCK |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 1/8/2021 |
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