FORM 1023-EZ for THE JERRY HOUSE YOUTH GOLF ASSOCIATION INC

Field Data
EIN 83-3476379
Case Number EO-2019042-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JERRY HOUSE YOUTH GOLF ASSOCIATION INC
Organization’s Mailing Address 105 FOX CIRCLE
City BURNET
State TX
ZIP 78611
Accounting period End 12
Primary contact name WILLETTA HOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLETTA HOUSE
DIRECTOR
105 FOX CIRCLE
BURNET TX 78611

Officer/Director/Trustee Two

JERALD HOUSE
DIRECTOR
105 FOX CIRCLE
BURNET TX 78611

Officer/Director/Trustee Three

SUSAN ROHRER
DIRECTOR
105 FOX CIRCLE
BURNET TX 78611

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 WILLETTA HOUSE
Signature Title DIRECTOR
Signature Date 2/7/19

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