FORM 1023-EZ for SHELBY COUNTY JUNIOR GOLF FOUNDATION INC

Field Data
EIN 82-1866719
Case Number EO-2017194-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHELBY COUNTY JUNIOR GOLF FOUNDATION INC
Organization’s Mailing Address 717 BURKS BRANCH ROAD
City SHELBYVILLE
State KY
ZIP 40065
Accounting period End 12
Primary contact name PHILLIP P THURMAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN SLONE
PRESIDENT
2240 MT EDEN ROAD
SHELBYVILLE KY 40065

Officer/Director/Trustee Two

GREGORY GIBSON
VICE PRESIDENT
PO BOX 1247
SHELBYVILLE KY 40066-1247

Officer/Director/Trustee Three

DERRICK GRIFFITTS
SECRETARY
717 BURKS BRANCH ROAD
SHELBYVILLE KY 40065

Officer/Director/Trustee Four

ROBBIE HOUCHIN
DIRECTOR
422 MAIN STREET
SHELBYVILLE KY 40065

Officer/Director/Trustee Five

ALICE CREQUE
DIRECTOR
141 STONECREST ROAD UNIT 2
SHELBYVILLE KY 40065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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