FORM 1023-EZ for BOONVILLE CROSS COUNTRY CLUB INCORPORATED

Field Data
EIN 83-4064183
Case Number EO-2019081-000543
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOONVILLE CROSS COUNTRY CLUB INCORPORATED
Organization’s Mailing Address PO BOX 682
City BOONVILLE
State IN
ZIP 47601
Accounting period End 12
Primary contact name CINDY CUNDIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY CUNDIFF
PRESIDENT
1622 STONEHAVEN CIRCLE
BOONVILLE IN 47601

Officer/Director/Trustee Two

AMY ULREY
VICE PRESIDENT
1177 NORTH WINSETT ROAD
TENNYSON IN 47637

Officer/Director/Trustee Three

SAMANTHA MUSGROVE
SECRETARY
311 NORTH 4TH STREET
BOONVILLE IN 47601

Officer/Director/Trustee Four

DINA BIGGINS
TREASURER
2599 BUSSING ROAD
BOONVILLE IN 47601

Officer/Director/Trustee Five

CAROLYN WHYTE
BOARD MEMBER
1465 HEWINS ROAD
BOONVILLE IN 47601

Organization’s website WWW.FACEBOOK/BOONVILLE-CROSS-COUNTRY-CLUB-637048959969690/
Organization’s email BOONVILLECROSSCOUNTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State IN
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: No
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 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 DINA BIGGINS
Signature Title TREASURER
Signature Date 3/20/19

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