FORM 1023-EZ for MEN OF LAKE OCONEE INC

Field Data
EIN 85-2181082
Case Number EO-2020241-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEN OF LAKE OCONEE INC
Organization’s Mailing Address 819 HARMONY RD SUITE 100
City EATONTON
State GA
ZIP 31024
Accounting period End 12
Primary contact name ROBERT MASSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT MASSEY
PRESIDENT
1020 TIMBER RIDGE RD
GREENSBORO GA 30642

Officer/Director/Trustee Two

STEPHEN PETRIE
SECRETARY AND TREASURER
1131 WRAYSWOOD CIRCLE
GREENSBORO GA 30642

Officer/Director/Trustee Three

THOMAS KELLY
TRUSTEE
1571 JACKSON RIDGE
GREENSBORO GA 30642

Officer/Director/Trustee Four

R SHANNON OSBORNE
TUSTEE
1200 ROSE CREEK
GREENSBORO GA 30642

Officer/Director/Trustee Five

REID CONKLIN
TRUSTEE
2190 ARMORS FORD
GREENSBORO GA 30642

Organization’s website
Organization’s email MENOFLAKEOCONEE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V12 - Fund Raising and/or Fund Distribution
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 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 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 ROBERT MASSEY
Signature Title PRESIDENT
Signature Date 8/26/2020

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