FORM 1023-EZ for CLUB 66 VETERANS AND ASSOCIATES INC

Field Data
EIN 83-1719641
Case Number EO-2019148-000465
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUB 66 VETERANS AND ASSOCIATES INC
Organization’s Mailing Address 2641 HWY 66
City YOUNG HARRIS
State GA
ZIP 30582
Accounting period End 12
Primary contact name KATHLEEN LITTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WANDA KATHLEEN LITTLE
CEO
67 MATTHEW ST
BLAIRSVILLE GA 30512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 WANDA KATHLEEN LITTLE
Signature Title CEO
Signature Date 5/24/19

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