FORM 1023-EZ for JHS DUGOUT CLUB INC

Field Data
EIN 47-1654135
Case Number EO-2014254-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JHS DUGOUT CLUB INC
Organization’s Mailing Address 3305 POPLAR SPRINGS ROAD
City GAINESVILLE
State GA
ZIP 30507
Accounting period End 12
Primary contact name LISA HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF BARKLEY
PRESIDENT
3619 ATHENS HWY
TALMO GA 30575

Officer/Director/Trustee Two

BRYAN ABERCROMBIE
VICE-PRESIDENT
4933 ODELL DRIVE
GAINESVILLE GA 30504

Officer/Director/Trustee Three

RANDY GRIZZLE
TREASURER
2841 S ARBOR DRIVE
GAINESVILLE GA 30507

Officer/Director/Trustee Four

JARED HODGE
DIRECTOR
3305 POPLAR SPRINGS ROAD
GAINESVILLE GA 30507

Officer/Director/Trustee Five

LISA HENDERSON
CPA/POWER OF ATTORNEY
4615 PLANTATION DRIVE
FLOWERY BRANCH GA 30542

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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