FORM 1023-EZ for OLYMPUS VOLLEYBALL CLUB INC

Field Data
EIN 81-1160778
Case Number EO-2016042-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLYMPUS VOLLEYBALL CLUB INC
Organization’s Mailing Address 513 GLENWOOD AVE SE
City ATLANTA
State GA
ZIP 30312
Accounting period End 12
Primary contact name JAMES OMEDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES OMEDO
PRESIDENT
513 GLENWOOD AVE SE
ATLANTA GA 30312

Officer/Director/Trustee Two

AMBER CHELLIS-OMEDO
TREASURER
513 GLENWOOD AVE SE
ATLANTA GA 30312

Officer/Director/Trustee Three

KAMI FONGBEMI
VICE PRESIDENT
1996 KENSINGTON HIGH ST
LILBURN GA 30047

Officer/Director/Trustee Four

JOYCE FONGBEMI
SECRETARY
1996 KENSINGTON HIGH ST
LILBURN GA 30047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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
Signature Title
Signature Date

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