FORM 1023-EZ for STREET PHANTOM MOTORCYCLE CLUB INC

Field Data
EIN 32-0586082
Case Number EO-2019035-000638
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STREET PHANTOM MOTORCYCLE CLUB INC
Organization’s Mailing Address 116 LONG PINE DR
City LEESBURG
State GA
ZIP 31763
Accounting period End 12
Primary contact name MILTON REESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MILTON REESE
DIRECTOR/CEO
116 LONG PINE DR
LEESBURG GA 31763

Officer/Director/Trustee Two

MICHAEL BLAKLEY
DIRECTOR/CFO
3228 MARTIN LUTHER KING JR DR
ALBANY GA 31701

Officer/Director/Trustee Three

MICHAEL LEWIS
DIRECTOR/SECRETARY
1728 PINEKNOLL LN
ALBANY GA 31707

Officer/Director/Trustee Four

LEROY JOHNSON
DIRECTOR
1757 COLUMBUS HWY LOT
DAWSON GA 39842

Officer/Director/Trustee Five

CALVIN SMITH
DIRECTOR
803 PUTNEY AVE
ALBANY GA 31705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 MILTON REESE
Signature Title DIRECTOR/CEO
Signature Date 1/11/19

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