FORM 1023-EZ for GOOD OLD BOYS AND GALS OF GALLATIN CLUB INC

Field Data
EIN 82-0598769
Case Number EO-2017060-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD OLD BOYS AND GALS OF GALLATIN CLUB INC
Organization’s Mailing Address PO BOX 722
City WARSAW
State KY
ZIP 41095-0722
Accounting period End 12
Primary contact name KATHY BROWN EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICKY COZINE
PRESIDENT
PO BOX 1105
WARSAW KY 41095

Officer/Director/Trustee Two

PATRICIA BERRY
VICE PRESIDENT
PO BOX 532
WARSAW KY 41095

Officer/Director/Trustee Three

SANDRA REED
TREASURER
PO BOX 722
WARSAW KY 41095

Officer/Director/Trustee Four

LISA COZINE
SECRETARY
PO BOX 1105
WARSAW KY 41095

Officer/Director/Trustee Five

MAYME WALTERS
DIRECTOR
PO BOX 377
WARSAW KY 41095

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2016
Organization Incorporation State KY
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 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
Signature Title
Signature Date

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