FORM 1023-EZ for GWINNETT COUNTY CHIEFS ASSOCIATION INC

Field Data
EIN 58-2155651
Case Number EO-2017128-000059
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GWINNETT COUNTY CHIEFS ASSOCIATION INC
Organization’s Mailing Address PO BOX 2200
City LAWRENCEVILLE
State GA
ZIP 30046-2200
Accounting period End 12
Primary contact name ROBERT SILL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN BRANCH
CEO
2900 UNIVERSITY PARKWAY
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Two

L RANDY JOHNSON
CFO
2900 UNIVERSITY PARKWAY
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Three

BRUCE HEDLEY
SECRETARY
2900 UNIVERSITY PARKWAY
LAWRENCEVILLE GA 30043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/1994
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I03 - Professional Societies, Associations
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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