FORM 1023-EZ for MID COLUMBUS GEORGIA CLUB

Field Data
EIN 84-2366872
Case Number EO-2019329-000655
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID COLUMBUS GEORGIA CLUB
Organization’s Mailing Address POST OFFICE BOX 12452
City COLUMBUS
State GA
ZIP 31917
Accounting period End 6
Primary contact name ELEANOR BERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA CHAMBERS
PRESIDENT
755 BELVEDERE DRIVE
COLUMBUS GA 31907

Officer/Director/Trustee Two

JOSIE JOHNSON
2ND VICE PRESIDENT
5386 WESTWOOD DRIVE
COLUMBUS GA 31907

Officer/Director/Trustee Three

SHERRY BELL
1ST VICE PRESIDENT
549 PAULA COURT
COLUMBUS GA 31907

Officer/Director/Trustee Four

ELEANOR BERRY
TREASURER
284 FRANKLIN CREEK DRIVE
UPATOI GA 31829

Officer/Director/Trustee Five

ALETHA RANSOM
SECRETARY
5416 CLEVELAND STREET
COLUMBUS GA 31907

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 ELEANOR BERRY
Signature Title TREASURER
Signature Date 11/23/19

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