FORM 1023-EZ for PHENOMENAL BULLIES CLUB CORP

Field Data
EIN 86-3814859
Case Number EO-2021259-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHENOMENAL BULLIES CLUB CORP
Organization’s Mailing Address 9968 FARMVIEW CT
City MIAMISBURG
State OH
ZIP 45342
Accounting period End 12
Primary contact name JADE CARPENTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES COSBY
DIRECTOR
9968 FARMVIEW CT
MIAMIBURG OH 45342

Officer/Director/Trustee Two

TIFFANY COSBY
DIRECTOR
9968 FARMVIEW CT
MIAMISBURG OH 45342

Officer/Director/Trustee Three

VICTORIA COSBY
DIRECTOR
527 DAMIAN ST
VANDALIA OH 45377

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 JAMES COSBY
Signature Title DIRECTOR
Signature Date 9/14/2021

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