FORM 1023-EZ for STEM CLUB OF AMERICA INC

Field Data
EIN 83-3467899
Case Number EO-2019070-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEM CLUB OF AMERICA INC
Organization’s Mailing Address 170 MISTY WOODS DRIVE
City GROVETOWN
State GA
ZIP 30813
Accounting period End 12
Primary contact name KEVIN TIERNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DION COLLIER
PRESIDENT
170 MISTY WOODS DRIVE
GROVETOWN GA 30813-4022

Officer/Director/Trustee Two

KEVIN TIERNEY
VICE PRESIDENT
814 ROLLO DOMINO CIR
EVANS GA 30809-3482

Officer/Director/Trustee Three

JACOB HAMMERSMITH
TREASURER
12757 SAINT MARY DR
MANOR TX 78653-4599

Officer/Director/Trustee Four

JOSHUA WELLMAN
SECRETARY
398 CLAIRIDGE DR
GROVETOWN GA 30813-4048

Officer/Director/Trustee Five

CINDY SHIELDS
BOARD OFFICER
4958 E WARRENTON RD
WARRENTON GA 30828-3544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 KEVIN TIERNEY
Signature Title VICE PRESIDENT
Signature Date 3/9/19

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