FORM 1023-EZ for WAYCROSS SUPERSONICS

Field Data
EIN 84-4273316
Case Number EO-2020024-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAYCROSS SUPERSONICS
Organization’s Mailing Address 1707 OVERTON AVE
City WAYCROSS
State GA
ZIP 31503
Accounting period End 4
Primary contact name CATHY KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG HADDEN
PRESIDENT
1000 MONTAGE WAY
ATLANTA GA 30341

Officer/Director/Trustee Two

CHARLES JOHNSON
VICE PRESIDENT
804 CEDAR ST
WAYCROSS GA 31501

Officer/Director/Trustee Three

DERRIAN WARD
BASKETBALL OPERATIONS MANAGER
1302 MORNINGSIDE DR
WAYCROSS GA 31501

Officer/Director/Trustee Four

RODRIQUEZ KENNEDY
FINANCIAL MANAGER
1707 OVERTON AVE
WAYCROSS GA 31503

Officer/Director/Trustee Five

CATHY KENNEDY
ASSISTANT FINANCIAL MANAGER
1707 OVERTON AVE
WAYCROSS GA 31503

Organization’s website
Organization’s email WAYCROSSSUPERSONICS14@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
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 CATHY KENNEDY
Signature Title ASSISTANT FINANCIAL MANAGER
Signature Date 1/21/2020

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