FORM 1023-EZ for ON TRACK GEORGIA INC

Field Data
EIN 47-3653858
Case Number EO-2020007-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ON TRACK GEORGIA INC
Organization’s Mailing Address 1471 TOWN COUNTRY DRIVE
City ATLANTA
State GA
ZIP 30316
Accounting period End 12
Primary contact name NEDRA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XAVIER LEWIS
CEO
1492 BOULDERCREST RD SE APT 90
ATLANTA GA 30315

Officer/Director/Trustee Two

SHON DEMBY
CFO
2204 ADDISON PARK
RIVERDALE GA 30296

Officer/Director/Trustee Three

DEJA CAGLE
SECRETARY
1471 TOWN COUNTRY DRIVE SE
ATLANTA GA 30316

Organization’s website TRACKGEORGIA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEJA CAGLE
Signature Title SECRETARY
Signature Date 1/5/2020
EIN 47-3653858
Case Number EO-2016250-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ON TRACK GEORGIA INC
Organization’s Mailing Address 1471 TOWN COUNTRY DRIVE
City ATLANTA
State GA
ZIP 30316
Accounting period End 12
Primary contact name DEJA CAGLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XAVIER LEWIS
PRESIDENT
1492 BOULDERCREST LANE APT 90
ATLANTA GA 30316

Officer/Director/Trustee Two

DEJA CAGLE
VICE PRESIDENT
1471 TOWN COUNTY DRIVE
ATLANTA GA 30316

Officer/Director/Trustee Three

LEVETTE INGRAM
SECRETARY TREASURER
1120 FOLKSTONE DRIVE
MCDONOUGH GA 30253

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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