FORM 1023-EZ for MODEL HIGH LADY DEVILS TIP OFF CLUBINC

Field Data
EIN 85-3383094
Case Number EO-2021085-000644
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MODEL HIGH LADY DEVILS TIP OFF CLUBINC
Organization’s Mailing Address 3252 CALHOUN RD NE
City ROME
State GA
ZIP 30161
Accounting period End 6
Primary contact name TARA COLBURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA COLBURN
TREASURER
5 WOODCLIFFE DR NE
ROME GA 30161

Officer/Director/Trustee Two

TORRIE TWILLEY
PRESIDENT
19 SEAY DR SE
ROME GA 30161

Organization’s website
Organization’s email MODELHIGHLADYDEVILS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 TARA COLBURN
Signature Title TREASURER
Signature Date 2/4/2021

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