FORM 1023-EZ for SHELL BLUFF COMMUNITY ORGANIZATION INC

Field Data
EIN 35-2584119
Case Number EO-2017047-000038
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHELL BLUFF COMMUNITY ORGANIZATION INC
Organization’s Mailing Address 677 SPRING BRANCH CHURCH RD
City WAYNESBORO
State GA
ZIP 30830-7552
Accounting period End 12
Primary contact name CHARLES N UTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES UTLEY
DIRECTOR
3417 SUTTON PLACE
AUGUSTA GA 30906-5208

Officer/Director/Trustee Two

GEORGE F EVANS SR
DIRECTOR
2637 SEVEN OAKS ROAD
WAYNESBORO GA 30830-5101

Officer/Director/Trustee Three

LOUIS A WALTERS
CHAIRMAN
3505 NORTH PINE DRIVE
AUGUSTA GA 30906-8823

Officer/Director/Trustee Four

FELISA D LEWIS
VICE-CHAIRMAN
101 EMERALD MEADOW DRIVE
WAYNESBORO GA 30830-1116

Officer/Director/Trustee Five

LILLIE B WILSON
TREASURER
812 CATE MEAD ROAD
WAYNESBORO GA 30830-5372

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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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