FORM 1023-EZ for CHATT HILLS MUSIC

Field Data
EIN 47-5235831
Case Number EO-2017009-000504
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHATT HILLS MUSIC
Organization’s Mailing Address 10744 SERENBE LANE
City CHATTAHOOCHEE HILLS
State GA
ZIP 30268
Accounting period End 12
Primary contact name RON SIMBLIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RON SIMBLIST
PRESIDENT
10744 SERENBE LANE
CHATTAHOOCHEE HILLS GA 30268

Officer/Director/Trustee Two

RON SIMBLIST
PRESIDENT
10744 SERENBE LANE
CHATTAHOOCHEE HILLS GA 30268

Officer/Director/Trustee Three

SANDY SIMBLIST
SECRETARY
10744 SERENBE LANE
CHATTAHOOCHEE HILLS GA 30268

Organization’s website WWW.CHATTHILLSMUSIC.COM
Organization’s email CHATTHILLSMUSIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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