FORM 1023-EZ for JEFF LONG LUCY LANEY INC

Field Data
EIN 86-2215934
Case Number EO-2021103-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFF LONG LUCY LANEY INC
Organization’s Mailing Address 235 PO BOX
City STOCKBRIDGE
State GA
ZIP 30281
Accounting period End 12
Primary contact name JAMES LEON LINGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES LINGO
PRESIDENT/DIRECTOR/GRAND MASTER
617 ALLEN DRIVE
RIVERDALE GA 30274

Officer/Director/Trustee Two

ALFERD THRASHER
TREASURER
617 ALLEN DRIVE
RIVERDALE GA 30274

Officer/Director/Trustee Three

MICHAEL HUNTER
SECRETARY
617 ALLEN DRIVE
RIVERDALE GA 30274

Officer/Director/Trustee Four

YUMA MALLARD
DIRECTOR
617 ALLEN DRIVE
RIVERDALE GA 30274

Officer/Director/Trustee Five

TYRONE COLEMAN
DIRECTOR
617 ALLEN DRIVE
RIVERDALE GA 30274

Organization’s website
Organization’s email GRANDLODGEJEFFLONG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, 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 Yes
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 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 JAMES LINGO
Signature Title PRESIDENT/DIRECTOR/GRAND MASTER
Signature Date 4/6/2021

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