FORM 1023-EZ for THE CULVER BEARD CLUB INC

Field Data
EIN 47-2082083
Case Number EO-2015035-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CULVER BEARD CLUB INC
Organization’s Mailing Address 12510 5A RD
City PLYMOUTH
State IN
ZIP 46563
Accounting period End 12
Primary contact name STEFEN WYNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOEL SAMUELSON
PRESIDENT
1111 N LAKESHORE DR
CULVER IN 46511

Officer/Director/Trustee Two

TUCKER ANDERSON
VICE-PRESIDENT
521 S MAIN ST
CULVER IN 46511

Officer/Director/Trustee Three

JOSHUA RICHEY
SECRETARY
109 1/2 S MAIN ST
CULVER IN 46511

Officer/Director/Trustee Four

STEFEN WYNN
TREASURER
12510 5A RD
PLYMOUTH IN 46563

Organization’s website CULVERBEARDCLUB.WILDAPRICOT.ORG
Organization’s email THECULVERBEARDCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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
Signature Title
Signature Date

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