FORM 1023-EZ for WARTHOGS MC ALEXANDRIA CHAPTER

Field Data
EIN 83-3950564
Case Number EO-2019351-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARTHOGS MC ALEXANDRIA CHAPTER
Organization’s Mailing Address 1160 PARKSIDE DRIVE
City ALEXANDRIA
State KY
ZIP 41001
Accounting period End 12
Primary contact name REX TIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REX TIMMONS
PRESIDENT
9
ALEXANDRIA KY 41001

Officer/Director/Trustee Two

THOMAS SELBY
VICE PRESIDENT
1160 PARKSIDE DRIVE
ALEXANDRIA KY 41001

Officer/Director/Trustee Three

MICHAEL JABLONSKI
SECRETARY
2576 HARRIS PIKE
INDEPENDENCE KY 41051

Officer/Director/Trustee Four

RICK SMITH
TREASURER
805 ARLINGTON CT
PARK HILLS KY 41017

Officer/Director/Trustee Five

MIGUEL RODRIGUES
1ST SGT
122 ROSSMOYNE DR
CRESTVIEW HILLS KY 41017

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 REX TIMMONS
Signature Title PRESIDENT
Signature Date 12/15/2019

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