FORM 1023-EZ for PILOT CLUB INTERNATIONAL DBA PILOTCLUB OF FITZGERALD

Field Data
EIN 58-6040058
Case Number EO-2014266-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PILOT CLUB INTERNATIONAL DBA PILOTCLUB OF FITZGERALD
Organization’s Mailing Address 320 IRWINVILLE HIGHWAY
City FITZGERALD
State GA
ZIP 31750
Accounting period End 6
Primary contact name BARBARA WORTHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENISE MADDOX
PRESIDENT
853 LOWER REBECCA ROAD
FITZGERALD GA 31750

Officer/Director/Trustee Two

BARBARA WORTHINGTON
TREASURER
320 IRWINVILLE HIGHWAY
FITZGERALD GA 31750

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/1921
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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