FORM 1023-EZ for SWIM BIKE RUN 4 LIFE CLUB CORP

Field Data
EIN 86-1684173
Case Number EO-2021085-001222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SWIM BIKE RUN 4 LIFE CLUB CORP
Organization’s Mailing Address 3301 HENDERSON MILL RD A4
City CHAMBLEE
State GA
ZIP 30341-4531
Accounting period End 12
Primary contact name BEVERLY ISEGHOHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEVERLY ISEGHOHI
CIEF EXECUTIVE OFFICER
3301 HENDERSON MILL RD A4
CHAMBLEE GA 30341-4531

Officer/Director/Trustee Two

ANGLIA WHITEHEAD
TREASURER
3301 HENDERSON MILL RD A4
CHAMBLEE GA 30341-4531

Officer/Director/Trustee Three

DEBBIE STEWART
DIRECTOR
3301 HENDERSON MILL RD A4
CHAMBLEE GA 30341-4531

Officer/Director/Trustee Four

NATASHA THOMAS
DIRECTOR
3301 HENDERSON MILL RD A4
CHAMBLEE GA 30341-4531

Officer/Director/Trustee Five

CANDICE MCKINLEY
DIRECTOR
3301 HENDERSON MILL RD A4
CHAMBLEE GA 30341-4531

Organization’s website
Organization’s email Beverly.Iseghohi28@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 BEVERLY ISEGHOHI
Signature Title CIEF EXECUTIVE OFFICER
Signature Date 2/6/2021

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