FORM 1023-EZ for WHITE COUNTY TIPOFF CLUB INC

Field Data
EIN 84-3144598
Case Number EO-2019269-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITE COUNTY TIPOFF CLUB INC
Organization’s Mailing Address 227 HWY 75 ALT
City CLEVELAND
State GA
ZIP 30528
Accounting period End 12
Primary contact name JIMMY SARGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIMMY SARGENT
DIRECTOR
227 HWY 75 ALT
CLEVELAND GA 30528

Officer/Director/Trustee Two

OCTAVIOUS MULLIGAN
DIRECTOR
29 FRANCES DRIVE
CLEVELAND GA 30528

Officer/Director/Trustee Three

MARK TURNER
DIRECTOR
PO BOX 3047
CLEVELAND GA 30528

Officer/Director/Trustee Four

GREG ADAMS
DIRECTOR
415 JONNEY THOMAS ROAD
CLEVELAND GA 30528

Officer/Director/Trustee Five

AMY CRUMLEY
DIRECTOR
6122 HWY 254
CLEVELAND GA 30528

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 JIMMY SARGENT
Signature Title DIRECTOR
Signature Date 9/24/19

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