FORM 1023-EZ for BUFFALO TRACE JEEPERS INC

Field Data
EIN 82-0827182
Case Number EO-2017097-000473
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUFFALO TRACE JEEPERS INC
Organization’s Mailing Address 522 N KLUEMPER RD
City JASPER
State IN
ZIP 47546
Accounting period End 12
Primary contact name GARRY HISEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRY HISEL
PRESIDENT
522 N KLUEMPER RD
JASPER IN 47546-9598

Officer/Director/Trustee Two

JULIE TAYLOR
VICE PRESIDENT
562 E 675 N
WASHINGTON IN 47501-7247

Officer/Director/Trustee Three

GAIL PECKENPAUGH
SECRETARY
995 N 620 W
JASPER IN 47546-8082

Officer/Director/Trustee Four

CHAD PECKENPAUGH
TREASURER
995 N 620 W
JASPER IN 47546-8082

Officer/Director/Trustee Five

MISTY HANKS
FINANCIAL SECRETARY
4241 S 170 E
HUNTINGBURG IN 47542-9396

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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