FORM 1023-EZ for HISTORIC DARIEN INC

Field Data
EIN 30-0037656
Case Number EO-2015264-000417
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORIC DARIEN INC
Organization’s Mailing Address 108 WASHINGTON STREET PO BOX 452
City DARIEN
State GA
ZIP 31305
Accounting period End 6
Primary contact name CON HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUSS QUARTERMAN
CHAIRMAN DIRECTOR
106 WASHINGTON STREET
DARIEN GA 31305-0452

Officer/Director/Trustee Two

CORNELIUS HOLLAND
TREASURER -DIRECTOR
106 WASHINGTON STREET
DARIEN GA 31305-0452

Officer/Director/Trustee Three

JOHNNY ZOUCKS
VICE CHAIRMAN -DIRECTOR
106 WASHINGTON STREET
DARIEN GA 31305-0452

Officer/Director/Trustee Four

FRED STREGGLES
SECRETARY -DIRECTOR
106 WASHINGTON STREET
DARIEN GA 31305-0452

Officer/Director/Trustee Five

MIKE GREENWAY
DIRECTOR -DIRECTOR
106 WASHINGTON STREET
DARIEN GA 31305-0452

Organization’s website
Organization’s email DDADIRECTOR@DARIENTEL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2001
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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