FORM 1023-EZ for HERSCHELS 34 AND JOHNSON COUNTY CLASS OF 1980 INC

Field Data
EIN 81-3596597
Case Number EO-2016235-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERSCHELS 34 AND JOHNSON COUNTY CLASS OF 1980 INC
Organization’s Mailing Address 212-H WEST JACKSON STREET
City DUBLIN
State GA
ZIP 31021-6100
Accounting period End 12
Primary contact name RALPH JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNUS GREGORY
CEO
537 WITHERINGTON CIRCLE
EAST DUBLIN GA 31027-3296

Officer/Director/Trustee Two

DAVID HALL
TREASURER
9241 HWY 15 NORTH
WRIGHTSVILLE GA 31096-5211

Officer/Director/Trustee Three

LISA MCCARTY
SECRETARY
9255 GA HWY 15 SOUTH
HARRISON GA 31035-7745

Officer/Director/Trustee Four

KATHERINE MCMILLER
TREASURER
1411 PEACH STREET
DUBLIN GA 31021-7223

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 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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