FORM 1023-EZ for CLARKSTON BIBLE INSTITUTE INC

Field Data
EIN 81-4363577
Case Number EO-2016319-000596
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARKSTON BIBLE INSTITUTE INC
Organization’s Mailing Address 3895 CHURCH ST
City CLARKSTON
State GA
ZIP 30021-1710
Accounting period End 12
Primary contact name TERRY SPARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRENT DELOACH
TREASURER
1715 BRANTFORD DR
TUCKER GA 30084-7951

Officer/Director/Trustee Two

DAVE LAMBERT
SECRETARY
543 BALFOUR DR
DECATUR GA 30032-1424

Officer/Director/Trustee Three

TERRY SPARKS
EXECUTIVE DIRECTOR
5510 N PEACHTREE RD
DUNWOODY GA 30338-3106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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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