FORM 1023-EZ for MOST WORSHIPFUL JAMES FERGUSON GRAND LODGE

Field Data
EIN 47-2387968
Case Number EO-2018162-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOST WORSHIPFUL JAMES FERGUSON GRAND LODGE
Organization’s Mailing Address 205 HAMPTON DR
City DALLAS
State GA
ZIP 30132
Accounting period End 12
Primary contact name EDWARD RUSHING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD RUSHING
DEPUTY GRAND MASTER
8132 CREEKSTONE CT
RIVERDALE GA 30274

Officer/Director/Trustee Two

ALPHONSO METCALF
GRAND MASTER
205 HAMPTON DR
DALLAS GA 30132

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/14
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name EDWARD RUSHING
Signature Title DEPUTY GRAND MASTER
Signature Date 6/7/18

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