FORM 1023-EZ for PINEVALE HIGH SCHOOL ALUMNI ASSOCIATION INC

Field Data
EIN 82-1246990
Case Number EO-2017114-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINEVALE HIGH SCHOOL ALUMNI ASSOCIATION INC
Organization’s Mailing Address P O BOX 1987
City VALDOSTA
State GA
ZIP 31603-1987
Accounting period End 12
Primary contact name WILLIE HOUSEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE HOUSEAL
CHAIRMAN
764 LAKE LAUREL DRIVE
VALDOSTA GA 31605

Officer/Director/Trustee Two

HARRY JENKINS
VICECHAIRMAN
403 KNOB HILL DRIVE
VALDOSTA GA 31602

Officer/Director/Trustee Three

PEARLIE BRIDGES SPENCER
SECRETARY
1202 MORNINGSIDE DRIVE
VALDOSTA GA 31601

Officer/Director/Trustee Four

SALLIE R WILLIAMS
TREASURER
262 PINE FOREST DRIVE
VALDOSTA GA 31602

Officer/Director/Trustee Five

IRVIN DAVIS
BOARD MEMBER
1010 1/2 WEST GORDON STREET
VALDOSTA GA 31601

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2012
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B28 - Specialized Education Institutions
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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