FORM 1023-EZ for PRIMITIVE BAPTIST MUSIC WORKSHOP INC

Field Data
EIN 83-3201110
Case Number EO-2019116-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRIMITIVE BAPTIST MUSIC WORKSHOP INC
Organization’s Mailing Address 1259 CARL DASHER ROAD
City GLENNVILLE
State GA
ZIP 30427
Accounting period End 8
Primary contact name BETH STUBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BECKY THRIFT
CHAIR PERSON/PRESIDENT
1020 BRANNEN ROAD
METTER GA 30439

Officer/Director/Trustee Two

CAROLYN SUMMERFORD
VICE CHAIR/ VICE PRESIDENT
5165 E HENCART ROAD
GLENNVILLE GA 30427

Officer/Director/Trustee Three

BETH STUBBS
TREASURER
1259 CARL DASHER ROAD
GLENNVILLE GA 30427

Officer/Director/Trustee Four

PAT FLOWERS
SECRETARY
203 WEST SMITH STREET
CLAXTON GA 30417

Officer/Director/Trustee Five

DAVID SUMMERFORD
REP
5165 E HENCART ROAD
GLENNVILLE GA 30427

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 BETH STUBBS
Signature Title TREASURER
Signature Date 4/24/19

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