FORM 1023-EZ for WORTH COUNTY LIVESTOCK ASSOCIATIONINC

Field Data
EIN 47-2944427
Case Number EO-2015229-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WORTH COUNTY LIVESTOCK ASSOCIATIONINC
Organization’s Mailing Address 2441 GA HWY 313
City SYLVESTER
State GA
ZIP 31791
Accounting period End 12
Primary contact name E DICE ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDDIE MEDDERS
PRESIDENT/DIRECTOR
604 WEST LEE STREET
SYLVESTER GA 31791

Officer/Director/Trustee Two

ELIGAH ROBERTS
VICE-PRESIDENT/TREASURER/DIRECTOR
2441 GA HWY 313
SYLVESTER GA 31791

Officer/Director/Trustee Three

LARRY VARNADOE
SECRETARY/DIRECTOR
115 PHILLIP CAUSEY ROAD
DOERUN GA 31744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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