FORM 1023-EZ for GOLDEN GOOSE CLUB INC

Field Data
EIN 81-0746244
Case Number EO-2015353-000058
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLDEN GOOSE CLUB INC
Organization’s Mailing Address 2011 SOUTH 7TH STREET
City OSKALOOSA
State IA
ZIP 52577
Accounting period End 12
Primary contact name JENNIFER MAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER MAIN
PRESIDENT
2011 SOUTH 7TH STREET
OSKALOOSA IA 52577

Officer/Director/Trustee Two

VICKY COLLETTE
SECRETARY
2238 LYNNDALE ROAD
OSKALOOSA IA 52577

Officer/Director/Trustee Three

JILL BRUMBAUGH
TREASURER
3892 HIGHWAY F26 EAST
REASNOR IA 50232

Organization’s website
Organization’s email JEN.MAIN@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
One Third Support Gifts No
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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