FORM 1023-EZ for 100 CLUB HOT SPRINGS VILLAGE

Field Data
EIN 47-1850001
Case Number EO-2014272-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 100 CLUB HOT SPRINGS VILLAGE
Organization’s Mailing Address PO BOX 8533
City HOT SPRINGS VILLAGE
State AR
ZIP 71910
Accounting period End 12
Primary contact name JIMMY V HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIMMY HAMILTON
SECRETARY/TREASURER
32 ROMANO LANE
HOT SPRINGS VILLAGE AR 71909

Officer/Director/Trustee Two

BRUCE DAVIS
BOARD MEMBER
44 DOBLEZ CR
HOT SPRINGS VILLAGE AR 71909

Officer/Director/Trustee Three

GREGG CUDWORTH
BOARD MEMBER
113 CALELLA
HOT SPRINGS VILLAGE AR 71909

Officer/Director/Trustee Four

JEFF HOLLASWORTH
BOARD MEMBER
1400 DESOTO BLVD
HOT SPRINGS VILLAGE AR 71909

Officer/Director/Trustee Five

JOE MARRIOTT
BOARD MEMBER
410 PONCE DELEON DR
HOT SPRINGS VILLAGE AR 71909

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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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