FORM 1023-EZ for GONZALES COUNTY AM CLUB SCHOLARSHIPFUND

Field Data
EIN 74-2291108
Case Number EO-2014256-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GONZALES COUNTY AM CLUB SCHOLARSHIPFUND
Organization’s Mailing Address PO BOX 246
City GONZALES
State TX
ZIP 78629-0246
Accounting period End 12
Primary contact name CHARLENE GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WAYNE LOW
PRESIDENT
PO BOX 246
GONZALES TX 78629-0246

Officer/Director/Trustee Two

ROBERT BLAND
VICE PRESIDENT
PO BOX 246
GONZALES TX 78629-0246

Officer/Director/Trustee Three

CHARLENE GRAY
SECRETARY/TREASURER
PO BOX 246
GONZALES TX 78629-0246

Officer/Director/Trustee Four

SCOTT DIERLAM
PAST PRESIDENT
PO BOX 246
GONZALES TX 78629-0246

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/1983
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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