FORM 1023-EZ for PINE LAKEFEST INC

Field Data
EIN 27-2587842
Case Number EO-2021172-000487
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE LAKEFEST INC
Organization’s Mailing Address PO BOX 1518
City PINE LAKE
State GA
ZIP 30072-1518
Accounting period End 12
Primary contact name KATHIE DENOBRIGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHIE DENOBRIGA
CHAIR
PO BOX 1087 4641 RIDGE DRIVE
PINE LAKE GA 30072-1087

Officer/Director/Trustee Two

WANDA COOLEY
VICE-CHAIR
PO BOX 886
PINE LAKE GA 30072-0886

Officer/Director/Trustee Three

ELAINE CLARK
TREASURER
PO BOX 142
PINE LAKE GA 30072-0142

Officer/Director/Trustee Four

JACKIE BIGGERS
SECRETARY
450 ALLGOOD CIRCLE
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Five

HOLLEY MITCHELL
ART-LARGE
PO BOX 702
PINE LAKE GA 30072-0702

Organization’s website WWW.PINELAKEFEST.COM
Organization’s email PINELAKEFEST@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 KATHIE DENOBRIGA
Signature Title CHAIR
Signature Date 6/17/2021

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