FORM 1023-EZ for FANNIN FISHING CLUB INC

Field Data
EIN 81-4521327
Case Number EO-2017017-000616
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FANNIN FISHING CLUB INC
Organization’s Mailing Address 354 STONEY DRIVE
City BLAIRSVILLE
State GA
ZIP 30512
Accounting period End 6
Primary contact name BETH THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNIE NICHOLSON
PRESIDENT
PO BOX 188
EPWORTH GA 30541

Officer/Director/Trustee Two

LARRY TANKERSLEY
VICE PRESIDENT
203 GREEN ST
CLEVELAND GA 30528

Officer/Director/Trustee Three

BETH THOMAS
SECRETARY
354 STONEY DRIVE
BLAIRSVILLE GA 30512

Officer/Director/Trustee Four

DAWN HEATON
TREASURER
164 HARDWOOD LAND
BLUE RIDGE GA 30513

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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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