FORM 1023-EZ for BLOC BURNAZ MOTORCYCLE CLUB OF AUGUSTA GEORGIA INC

Field Data
EIN 82-0624195
Case Number EO-2017062-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLOC BURNAZ MOTORCYCLE CLUB OF AUGUSTA GEORGIA INC
Organization’s Mailing Address 2117 WILLHAVEN DR
City AUGUSTA
State GA
ZIP 30909
Accounting period End 12
Primary contact name JOHN ROLLEY III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN ROLLEY III
PRESIDENT, DIRECTOR
2117 WILLHAVEN DR
AUGUSTA GA 30909

Officer/Director/Trustee Two

MARCUS NELSON
SECRETARY, DIRECTOR
403 COLORADO ST
AUGUSTA GA 30901

Officer/Director/Trustee Three

RONALD SAVAGE
TREASURER, DIRECTOR
4425 DAVE MCDONALD DR
HEPHZIBAH GA 30815

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
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 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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