FORM 1023-EZ for APPLING COUNTY PIRATE TOUCHDOWN CLUB

Field Data
EIN 81-5422389
Case Number EO-2017096-000377
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPLING COUNTY PIRATE TOUCHDOWN CLUB
Organization’s Mailing Address 106 MAGNOLIA STREET
City BAXLEY
State GA
ZIP 31513
Accounting period End 12
Primary contact name KELLY STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY STONE
PRESIDENT
106 MAGNOLIA STREET
BAXLEY GA 31513

Officer/Director/Trustee Two

LARRY CARTER
VICE PRESIDENT
2883 GOLDEN ISLES EAST
BAXLEY GA 31513

Officer/Director/Trustee Three

R MICHAEL SHUMANS
SECRETARY / TREASURER
117 MIKE SHUMANS DRVIE
BAXLEY GA 31513

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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