FORM 1023-EZ for FLINT RIVER TRIATHLETES OF SOUTH GEORGIA INC

Field Data
EIN 81-0891459
Case Number EO-2015358-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLINT RIVER TRIATHLETES OF SOUTH GEORGIA INC
Organization’s Mailing Address 3015 AUTUMN AVE
City ALBANY
State GA
ZIP 31721
Accounting period End 12
Primary contact name MADELYN CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MADELYN CARTER
PRESIDENT, DIRECTOR
3015 AUTUMN AVE
ALBANY GA 31721

Officer/Director/Trustee Two

LEVENT GOKCEN
VICE PRESIDENT, DIRECTOR
374 HICKORY GROVE ROAD
LEESBURG GA 31763

Officer/Director/Trustee Three

CATHERINE CRAIN
SECRETARY, TREASURER, DIRECTOR
144 CENTURY ROAD EAST
LEESBURG GA 31763

Organization’s website N/A
Organization’s email EHOOPER@MCDR-LAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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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