FORM 1023-EZ for PIERCE COUNTY SPORTS HALL OF FAME INC

Field Data
EIN 84-3253805
Case Number EO-2019280-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCE COUNTY SPORTS HALL OF FAME INC
Organization’s Mailing Address 5946 REESE ST
City PATTERSON
State GA
ZIP 31557
Accounting period End 12
Primary contact name DIANN STRICKLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN DUPONT
CHAIRMAN
5946 REESE ST
PATTERSON GA 31557

Officer/Director/Trustee Two

MAUREEN BROWN
VICE CHAIRMAN
PO BOX 184
BLACKSHEAR GA 31516

Officer/Director/Trustee Three

DIANN STRICKLAND
SECRETARY
PO BOX 128
MERSHON GA 31551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/16
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DIANN STRICKLAND
Signature Title SECRETARY
Signature Date 10/3/19

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