FORM 1023-EZ for GEORGIA ULTIMATE

Field Data
EIN 84-4370383
Case Number EO-2020049-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GEORGIA ULTIMATE
Organization’s Mailing Address 1198 ZIMMER DR
City ATLANTA
State GA
ZIP 30306-2273
Accounting period End 12
Primary contact name GEORGE LI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE LI
DIRECTOR
1198 ZIMMER DRIVE
ATLANTA GA 30306-2273

Officer/Director/Trustee Two

CHARLES BLISS
DIRECTOR
176 EAST PARKWOOD ROAD
DECATUR GA 30030-2812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 GEORGE LI
Signature Title DIRECTOR
Signature Date 2/13/2020

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