FORM 1023-EZ for NORTH KISATCHIE SHOOTING CLUB

Field Data
EIN 84-1904166
Case Number EO-2019158-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH KISATCHIE SHOOTING CLUB
Organization’s Mailing Address 1165 MIDDLE RD
City MINDEN
State LA
ZIP 71055-6268
Accounting period End 12
Primary contact name BENJAMIN GORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN GORMAN
PRESIDENT
1165 MIDDLE ROAD
MINDEN LA 71055-6268

Officer/Director/Trustee Two

DANNY PUCKETT
VICE-PRESIDENT
114 SMITHFIELD LN
HEFLIN LA 71039

Officer/Director/Trustee Three

NIKKI MCCOY
DIRECTOR
263 GARRETT DR
DUBBERLY LA 71024

Organization’s website
Organization’s email NKSHOOTINGCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BENJAMIN GORMAN
Signature Title PRESIDENT
Signature Date 6/4/19

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