FORM 1023-EZ for PIN HI GOLF ASSOCIATION

Field Data
EIN 61-1689576
Case Number EO-2016077-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIN HI GOLF ASSOCIATION
Organization’s Mailing Address P O BOX 1652
City SWAINSBORO
State GA
ZIP 30401
Accounting period End 10
Primary contact name TERRY FAULKNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY FAULKNER
PRESIDENT
409 ROBIN ROAD
SWAINSBORO GA 30401-3431

Officer/Director/Trustee Two

ANTHONY HOWARD
TREASURER
109 LEWIS STREET
SWAINSBORO GA 30401

Officer/Director/Trustee Three

TONY PARKER
SECRETARY
P O BOX 1652
SWAINSBORO GA 30401

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2000
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B40 - Higher Education Institutions
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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