FORM 1023-EZ for CHADS BRACKET

Field Data
EIN 47-5364290
Case Number EO-2016092-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHADS BRACKET
Organization’s Mailing Address 575 SAM ALEXANDER ROAD
City DOUGLASVILLE
State GA
ZIP 30134-4811
Accounting period End 12
Primary contact name AMBER SOUTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER A LEGGETT
PRESIDENT
575 SAM ALEXANDER ROAD
DOUGLASVILLE GA 30134-4811

Officer/Director/Trustee Two

MICHAEL THOMAS GRAVELY
II
94 BRIDGE PLACE
DOUGLASVILLE GA 30134

Officer/Director/Trustee Three

H VERNON COLLETT
II
269 ABBINGTON LANE
DOUGLASVILLE GA 30134

Organization’s website WWW.FACEBOOK.COM/CHADSBRACKET
Organization’s email CHADSBRACKET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2005
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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