FORM 1023-EZ for 78 CPTS UAC

Field Data
EIN 75-3205664
Case Number EO-2016013-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 78 CPTS UAC
Organization’s Mailing Address 236 MILLEDGEVILLE ST STE F26
City ROBINS AFB
State GA
ZIP 31098
Accounting period End 12
Primary contact name MICHAEL DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRITNEY CHRISTY
PRESIDENT
236 MILLEDGEVILLE ST STE F26
ROBINS AFB GA 31098

Officer/Director/Trustee Two

LAURENA ROBERTS
VICE PRESIDENT
236 MILLEDGEVILLE ST STE F26
ROBINS AFB GA 31098

Officer/Director/Trustee Three

MICHAEL DAVIS
TREASURER
236 MILLEDGEVILLE ST STE F26
ROBINS AFB GA 31098

Officer/Director/Trustee Four

MONIQUE MATA
SECRETARY
236 MILLEDGEVILLE ST STE F26
ROBINS AFB GA 31098

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2005
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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