FORM 1023-EZ for BALL GROUND LIONS CLUB INC

Field Data
EIN 81-1016123
Case Number EO-2016012-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALL GROUND LIONS CLUB INC
Organization’s Mailing Address PO BOX 592
City BALL GROUND
State GA
ZIP 30114-0592
Accounting period End 6
Primary contact name NANCY Y SOSEBEE MADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NANCY Y SOSEBEE MADDEN
PRESIDENT
118 BIRCHWOOD PASS
CANTON GA 30114

Officer/Director/Trustee Two

ANITA DENSMORE
SECRETARY
355 DOGWOOD DRIVE
BALL GROUND GA 30107

Officer/Director/Trustee Three

SHARON SIVILLE
TREASURER
13270 EAST CHEROKEE DRIVE
BALL GROUND GA 30107

Officer/Director/Trustee Four

ANTHONY DEBLASIO
FIRST VICE PRESIDENT
331 PINEHURST WAY
CANTON GA 30114

Officer/Director/Trustee Five

ADELLE MICKELSON
SECOND VICE PRESIDENT
161 AMBER LAKE DRIVE
BALL GROUND GA 30107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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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