FORM 1023-EZ for PONCHO CLUB IMC

Field Data
EIN 81-3290484
Case Number EO-2018044-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PONCHO CLUB IMC
Organization’s Mailing Address 440 S MAIN STREET
City HENDERSON
State KY
ZIP 42420
Accounting period End 12
Primary contact name WILLIAM LEO PECKENPAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM PECKENPAUGH
DIRECTOR
440 S MAIN STREET
HENDERSON KY 42420

Officer/Director/Trustee Two

WESLEY PECKENPAUGH
DIRECTOR
818 LIBERTY STREET
DALLAS TX 75204

Officer/Director/Trustee Three

WILLIAM PECKENPAUGH
DIRECTOR
666 GREENWICH APT 523
NY NY 10014

Officer/Director/Trustee Four

CLARENCE UTLEY
DIRECTOR
730 CENTER STREET
HENDERSON KY 42420

Officer/Director/Trustee Five

MIKE WALLER
DIRECTOR
1319 WOODLAND DRIVE
HENDERSON KY 42420

Organization’s website
Organization’s email TREY.PECKENPAUGH@ROUSEPROPERTIES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/16
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 WILLIAM PECKENPAUGH
Signature Title DIRECTOR
Signature Date 2/11/18

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