FORM 1023-EZ for PAULDING COUNTY HIGH SCHOOL CROSS COUNTRY AND TRACK CLUB INC

Field Data
EIN 47-2299335
Case Number EO-2018046-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAULDING COUNTY HIGH SCHOOL CROSS COUNTRY AND TRACK CLUB INC
Organization’s Mailing Address 1297 VILLA RICA HWY
City DALLAS
State GA
ZIP 30157-7095
Accounting period End 5
Primary contact name CHARLES POSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN LIPSTREU
PRESIDENT
87 VINCENT CT
DALLAS GA 30157

Officer/Director/Trustee Two

MICHELLE LIPSTREU
1ST VICE PRESIDENT
87 VINCENT CT
DALLAS GA 30157

Officer/Director/Trustee Three

JOHN VOLK
2ND VICE PRESIDENT
2114 MARSHALL FULLER RD
DALLAS GA 30157

Officer/Director/Trustee Four

LISA ROBINSON
TREASURER
93 WISTERIA CT
HIRAM GA 30141

Officer/Director/Trustee Five

DANA BELL
SECRETARY
1249 PINE SHADOWS DR
DALLAS GA 30157

Organization’s website
Organization’s email SQUIRT@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/16
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA ROBINSON
Signature Title TREASURER
Signature Date 2/13/18

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