FORM 1023-EZ for FELLOWSHIP HALL INC

Field Data
EIN 58-1584887
Case Number EO-2020010-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FELLOWSHIP HALL INC
Organization’s Mailing Address PO BOX 7253
City MACON
State GA
ZIP 31209
Accounting period End 12
Primary contact name MIKE LARKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BROCKMAN
CEO
725 CARMEN PL
MACON GA 31206

Officer/Director/Trustee Two

TAMERA PIERCE
CFO
471 CHAPMAN RD
MACON GA 31211

Officer/Director/Trustee Three

MICHAEL LARKIN
SECRETARY
121 RIVOLI WOODS DR
MACON GA 31210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/1983
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S82 - Men's 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MICHAEL LARKIN
Signature Title SECRETARY
Signature Date 1/8/2020

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