FORM 1023-EZ for WAYNE COUNTY EXCHANGE CLUB INC

Field Data
EIN 84-2572724
Case Number EO-2019217-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAYNE COUNTY EXCHANGE CLUB INC
Organization’s Mailing Address PO BOX 1222
City JESUP
State GA
ZIP 31598
Accounting period End 12
Primary contact name KIMBERLY ROZIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBYN EUBANKS
PRESIDENT
1590 W CHERRY ST
JESUP GA 31545

Officer/Director/Trustee Two

MIKE LANE
PRESIDENT ELECT
317 N CHURCH ST
ODUM GA 31555

Officer/Director/Trustee Three

HEATHER NESMITH
IMMEDIATE PAST PRESIDENT
145 DRENNON DRIVE
JESUP GA 31545

Officer/Director/Trustee Four

JUDY BEAVER
SECRETARY
1955 DENT ROAD
ODUM GA 31555

Officer/Director/Trustee Five

KATIE STEPHENS
TREASURER
110 OLD BETHEL CHURCH ROAD
JESUP GA 31545

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
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: 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 KATIE STEPHENS
Signature Title TREASURER
Signature Date 8/3/19

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