FORM 1023-EZ for FORD COUNTY SPORTSMANS CLUB INC

Field Data
EIN 48-1049967
Case Number EO-2015260-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORD COUNTY SPORTSMANS CLUB INC
Organization’s Mailing Address PO BOX 535
City DODGE CITY
State KS
ZIP 67801
Accounting period End 12
Primary contact name DAVE FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVE FOSTER
PRESIDENT
2204 MANOR DRIVE
DODGE CITY KS 67801

Officer/Director/Trustee Two

MINDY STAPLETON
VICE PRESIDENT
911 TEXAS TRAIL
DODGE CITY KS 67801

Officer/Director/Trustee Three

MICHELE FLAX
SECRETARY
106 SHIRLANE STREET
DODGE CITY KS 67801

Officer/Director/Trustee Four

DALE VICE
TREASURER
2913 WESTVIEW
DODGE CITY KS 67801

Officer/Director/Trustee Five

BRITON EICHMAN
MEMBER AT LARGE
706 9TH AVENUE APT 5
DODGE CITY KS 67801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/1987
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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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