FORM 1023-EZ for TAZEWELL COMMUNITY CLUB INC

Field Data
EIN 82-2298224
Case Number EO-2017212-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAZEWELL COMMUNITY CLUB INC
Organization’s Mailing Address 109 PECAN PLACE
City BUENA VISTA
State GA
ZIP 31803
Accounting period End 12
Primary contact name SANDRA ELLIOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMMELETTE WELCH
PRESIDENT
2911 DR DERYL HART RD
BUENA VISTA GA 31803

Officer/Director/Trustee Two

SYLIA RUSSELL
VICE PRESIDENT
3223 DR DERYL HART RD
BUENA VISTA GA 31803

Officer/Director/Trustee Three

SHEILA HALL
SECRETARY
823 RONNIE RD
BUENA VISTA GA 31803

Officer/Director/Trustee Four

BONNIE TYLER
TREASURER
1374 WALTER WELLS RD
BUENA VISTA GA 31803

Officer/Director/Trustee Five

JAMES WELCH
CO TREASURER
23 PECAN PLACE
BUENA VISTA GA 31803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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