FORM 1023-EZ for PILOT CLUB OF DUBLIN INC

Field Data
EIN 23-7143022
Case Number EO-2015002-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PILOT CLUB OF DUBLIN INC
Organization’s Mailing Address PO BOX 4461
City DUBLIN
State GA
ZIP 31040
Accounting period End 6
Primary contact name ELSIE STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNELLE LOWERY
PRESIDENT
834 TAYLOR GROCERY ROAD
CADWELL GA 31009

Officer/Director/Trustee Two

JENNIFER BRYANT
PRES ELECT
2191 ANTIOCH CHURCH RD
DEXTER GA 31019

Officer/Director/Trustee Three

ELSIE STEVENS
TREASURER
PO BOX 280
DUBLIN GA 31040

Officer/Director/Trustee Four

DANA KINZLER
SECRETARY
1349 GA HWY 19S
DUBLIN GA 31021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/1971
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
Signature Title
Signature Date

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