FORM 1023-EZ for TIFT COUNTY ATHLETIC HALL OF FAME INC

Field Data
EIN 47-5657253
Case Number EO-2016088-000558
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TIFT COUNTY ATHLETIC HALL OF FAME INC
Organization’s Mailing Address 1510 WHIDDON MILL ROAD
City TIFTON
State GA
ZIP 31793
Accounting period End 12
Primary contact name JOHN SPURLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SPURLIN
CHAIRMAN
1510 WHIDDON MILL ROAD
TIFTON GA 31793

Officer/Director/Trustee Two

LARRY MIMS
VICE-CHAIRMAN
4501 LEE ANNE DRIVE
TIFTON GA 31794

Officer/Director/Trustee Three

IVEY VICKERS
SECRETARY/TREASURER
2827 RAINWATER ROAD
TIFTON GA 31793

Officer/Director/Trustee Four

ROBERT SIMPSON
DIRECTOR
307 W 10TH STREET
TIFTON GA 31794

Officer/Director/Trustee Five

DARIEN TEALS
DIRECTOR
17 DUCK DRIVE
TIFTON GA 31793

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 Yes
One Third Support Gifts No
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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