FORM 1023-EZ for SSG DUSTIN MICHAEL WRIGHT FOUNDATION INC

Field Data
EIN 82-3482829
Case Number EO-2018199-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SSG DUSTIN MICHAEL WRIGHT FOUNDATION INC
Organization’s Mailing Address 215 SOUTH WASHINGTON STREET
City LYONS
State GA
ZIP 30436
Accounting period End 12
Primary contact name ROBIN MCCULLOUGH CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM WRIGHT
PRESIDENT/CEO
215 SOUTH WASHINGTON STREET
LYONS GA 30436

Officer/Director/Trustee Two

ANIBAL CRISCIO
CFO
1216 PALMETTO AVE
BRUNSWICK GA 31520

Officer/Director/Trustee Three

TERI CRISCIO
SECRETARY
1216 PALMETTO AVE
BRUNSWICK GA 31520

Organization’s website WWW.SSGDMWF.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM WRIGHT
Signature Title PRESIDENT/CEO
Signature Date 7/16/18

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