FORM 1023-EZ for CAMP OF CHAMPIONS INC

Field Data
EIN 58-2661023
Case Number EO-2015229-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP OF CHAMPIONS INC
Organization’s Mailing Address PO BOX 361531
City DECATUR
State GA
ZIP 30036
Accounting period End 12
Primary contact name DARYL C BATTLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARYL BATTLES
EXECUTIVE DIRECTOR
2657 LENOX ROAD UNIT 98
ATLANTA GA 30324

Officer/Director/Trustee Two

ALBERT EDWARDS
CFO
225 MISTY BROOK CIRCLE
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

WALTER GEORGE
SECRETARY
6150-B COVINGTON HIGHWAY
LITHONIA GA 30058

Organization’s website HTTP://CAMPOFCHAMPIONSINC.ORG/
Organization’s email CCI007@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2001
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 Yes
One Third Support Gifts No
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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