FORM 1023-EZ for GOLD AND SILVER SENIOR CLUB INC

Field Data
EIN 47-5598270
Case Number EO-2016060-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLD AND SILVER SENIOR CLUB INC
Organization’s Mailing Address 400 WEST DAUGHERTY STREET
City WEBB CITY
State MO
ZIP 64870-1825
Accounting period End 12
Primary contact name GREG SPINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREG SPINK
PRESIDENT
1118 JACEE CIRCLE
WEBB CITY MO 64870-3041

Officer/Director/Trustee Two

BILLY TANDY
VICE PRESIDENT
18709 FIR ROAD
JOPLIN MO 64801-7127

Officer/Director/Trustee Three

AUSTIN SIMPSON
LIAISON MEMBER
400 WEST DAUGHERTY STREET
WEBB CITY MO 64870-1825

Officer/Director/Trustee Four

HOWARD HOUSE
TREASURER
205 EAST FOUNTAIN ROAD
JOPLIN MO 64801-9509

Officer/Director/Trustee Five

RUTH WILLOUGHBY
SECRETARY
704 WEST BRIARBROOK LANE
CARL JUNCTION MO 64834-9211

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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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