FORM 1023-EZ for ATLANTA LGBT POWERLIFTING

Field Data
EIN 83-3623889
Case Number EO-2019052-000330
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATLANTA LGBT POWERLIFTING
Organization’s Mailing Address 120 RALPH MCGILL BLVD NE APT 204
City ATLANTA
State GA
ZIP 30308-3310
Accounting period End 12
Primary contact name DAVID HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DREW SMITH
SECRETARY
44 PEACHTREE PL NW UNIT 2027
ATLANTA GA 30309-5415

Officer/Director/Trustee Two

DAVID HOLLAND
CEO
120 RALPH MCGILLBLVD NE APT 204
ATLANTA GA 30308-3310

Officer/Director/Trustee Three

JOSHUA JARVIS
CFO
432 PEMBROKE CIR
ALPHARETTA GA 30004-4967

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 DAVID HOLLAND
Signature Title CEO
Signature Date 2/19/19

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