FORM 1023-EZ for 81 FS TOP 5

Field Data
EIN 47-4790908
Case Number EO-2018183-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 81 FS TOP 5
Organization’s Mailing Address 8227 CHENNAULT WAY BLDG 706
City VALDOSTA
State GA
ZIP 31699
Accounting period End 10
Primary contact name DEREK W BOWIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW MEDFORD
PRESIDENT
8227 CHENNAULT WAY BLDG 706
VALDOSTA GA 31699

Officer/Director/Trustee Two

RICHARD KINGERY
VICE PRESIDENT
8227 CHENNAULT WAY BLDG 706
VALDOSTA GA 31699

Officer/Director/Trustee Three

CHARLES VIRGIL
WAYS AND MEANS
8227 CHENNAULT WAY BLDG 706
VALDOSTA GA 31699

Officer/Director/Trustee Four

SAVANNAH JONES
EVENT COORDINATOR
8227 CHENNAULT WAY BLDG 706
VALDOSTA GA 31699

Officer/Director/Trustee Five

DEREK BOWIE
TREASURER
8227 CHENNAULT WAY BLDG 706
VALDOSTA GA 31699

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 DEREK BOWIE
Signature Title TREASURER
Signature Date 6/28/18

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