FORM 1023-EZ for COVINGTON-CONYERS CYCLING CLUB

Field Data
EIN 82-1079430
Case Number EO-2020041-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVINGTON-CONYERS CYCLING CLUB
Organization’s Mailing Address 2161 KLONDIKE ROAD
City CONYERS
State GA
ZIP 30094
Accounting period End 12
Primary contact name EDDIE SHIREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDDIE SHIREY
TREASURER
2161 KLONDIKE ROAD
CONYERS GA 30094

Officer/Director/Trustee Two

JOHN KECK
PRESIDENT
8110 CRESTVIEW DRIVE
COVINGTON GA 30014

Officer/Director/Trustee Three

SHAWN BILAK
SECRETARY
BONDS LAKE ROAD
CONYERS GA 30012

Officer/Director/Trustee Four

NONE NONE
NONE
NONE
NONE GA 30094

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE GA 30094

Organization’s website WWW.C4CYCLING.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2009
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 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 EDDIE SHIREY
Signature Title TREASURER
Signature Date 2/6/2020

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