FORM 1023-EZ for W BELL SPECIAL BROTHERHOOD

Field Data
EIN 82-3868951
Case Number EO-2018073-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name W BELL SPECIAL BROTHERHOOD
Organization’s Mailing Address 3407 ROCKY DR
City MACON
State GA
ZIP 31204
Accounting period End 1
Primary contact name REGINALD SHELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD SHELLEY
CEO
3407 ROCKY DR
MACON GA 31204

Officer/Director/Trustee Two

SABRINA HANKS
SECRETARY
849 CORBIN AVE
MACON GA 31204

Officer/Director/Trustee Three

BRENDA MASON
PRESIDENT
4220 MARK PL
MACON GA 31204

Officer/Director/Trustee Four

TAMMY DECOSTA
BOARD MEMBER
547 WALLER RD
THOMASTON GA 30286

Officer/Director/Trustee Five

SHAROD COLLINS
TREASURE
2744 VILLAGE GREEN DR
MACON GA 31204

Organization’s website
Organization’s email W.BELL.BROTHERHOOD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REGINALD SHELLEY
Signature Title CEO
Signature Date 3/12/18

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