FORM 1023-EZ for MITCHELL COUNTY TRAP AND SKEET RANGE INC

Field Data
EIN 84-2502930
Case Number EO-2019289-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MITCHELL COUNTY TRAP AND SKEET RANGE INC
Organization’s Mailing Address 116 N HERSEY AVE
City BELOIT
State KS
ZIP 67420-369
Accounting period End 12
Primary contact name JAMES M JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES JOHNSON
PRESIDENT
716 WESTERN AVE
BELOIT KS 67420

Officer/Director/Trustee Two

GARY DEKLER
VICE PRES & TREAS
1020 N MILL
BELOIT KS 67420

Officer/Director/Trustee Three

BRIAN FINK
SECRETARY
820 N CAMPBELL
BELOIT KS 67420

Officer/Director/Trustee Four

CURTIS SAINT
DIRECTOR
1537 H ROAD
JEWELL KS 66949

Officer/Director/Trustee Five

BILL LORENZ
DIRECTOR
616 E COURT ST
BELOIT KS 67420

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/19
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 JAMES JOHNSON
Signature Title PRESIDENT
Signature Date 10/11/19

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