FORM 1023-EZ for NORTHEAST GEORGIA WOLVERINES INC

Field Data
EIN 86-3084398
Case Number EO-2021104-000016
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHEAST GEORGIA WOLVERINES INC
Organization’s Mailing Address 505 HEIRLOOM DR
City HAMPTON
State GA
ZIP 30228
Accounting period End 12
Primary contact name TYRONE BARNES JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRONE BARNES JR
PRESIDENT, DIRECTOR
505 HEIRLOOM DR
HAMPTON GA 30228

Officer/Director/Trustee Two

MARQUITHA HOWELL
SECRETARY, DIRECTOR
679 BELLE GROVE DR
JONESBORO GA 30238

Officer/Director/Trustee Three

TARICK MILLER
TREASURER, DIRECTOR
9348 DEER CROSSING CRK
JONESBORO GA 30236

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2021
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 Yes
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 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 TYRONE BARNES JR
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/9/2021

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