FORM 1023-EZ for DUNWOODY HIGH STIX CLUB INC NOTE-NAME CHANGE REQUESTED

Field Data
EIN 46-0714913
Case Number EO-2015050-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUNWOODY HIGH STIX CLUB INC NOTE-NAME CHANGE REQUESTED
Organization’s Mailing Address 5035 VERMACK ROAD
City DUNWOODY
State GA
ZIP 30338
Accounting period End 12
Primary contact name DORTE BIEBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOE KEEN
PRESIDENT
5163 VERMACK ROAD
DUNWOODY GA 30338

Officer/Director/Trustee Two

JEFF TRUMP
VICE-PRESIDENT
5620 BEND CREEK ROAD
DUNWOODY GA 30338

Officer/Director/Trustee Three

JOHN HYDRICK
BOARD MEMBER
5130 HAPPY HOLLOW ROAD
ATLANTA GA 30360

Officer/Director/Trustee Four

DORTE BIEBER
TREASURER
4667 DELLROSE DRIVE
DUNWOODY GA 30338

Officer/Director/Trustee Five

JULIE PILE
SECRETARY
5217 REDFIELD CT
DUNWOODY GA 30338

Organization’s website HTTP://DUNWOODYLACROSSE.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2012
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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