FORM 1023-EZ for COTTON BOLL QUILT GUILD INC

Field Data
EIN 32-0260417
Case Number EO-2016098-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COTTON BOLL QUILT GUILD INC
Organization’s Mailing Address 1189 MT ZION ROAD
City OXFORD
State GA
ZIP 30054
Accounting period End 12
Primary contact name DEBRA CRANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HELEN LEWIS
PRESIDENT
70 LONGVIEW DR
OXFORD GA 30054

Officer/Director/Trustee Two

BELINDA EVANS
VICE-PRESIDENT
933 ANNA MARIE LANE
MONROE GA 30655

Officer/Director/Trustee Three

JACKIE JOHNSON
TREASURER
5002 PANOLA MILL DR
LITHONIA GA 30038

Officer/Director/Trustee Four

MICHELLE CONNERS
SECRETARY
2180 PINEWOOD DR
COVINGON GA 30316

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2008
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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