FORM 1023-EZ for LAKE COUNTRY BEEKEEPERS ASSOCIATIONINC

Field Data
EIN 82-1423995
Case Number EO-2017299-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE COUNTRY BEEKEEPERS ASSOCIATIONINC
Organization’s Mailing Address 196 WJ ARCHER ROAD
City SPARTA
State GA
ZIP 31087
Accounting period End 12
Primary contact name KEENAN HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY LACKSON
PRESIDENT
PO BOX 510
SPARTA GA 31087

Officer/Director/Trustee Two

ROGER KICKLIGHTER
VICE PRESIDENT
PO BOX 664
SANDERSVILLE GA 31082

Officer/Director/Trustee Three

GAY MORRIS
SECRETARY
PO BOX 222
MADISON GA 30650

Officer/Director/Trustee Four

ROSE ANNE DORN FIELDER
TREASURER
243 FOLDS ROAD
EATONTON GA 31024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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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