FORM 1023-EZ for DJCGOLF INCORPORATED

Field Data
EIN 83-4490139
Case Number EO-2019126-000576
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DJCGOLF INCORPORATED
Organization’s Mailing Address 2040 CROMWELL CIRCLE
City DAVENPORT
State IA
ZIP 52807
Accounting period End 12
Primary contact name JOHN CORNISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CORNISH CORNISH
PRESIDENT
2040 CROMWELL CIRCLE
DAVENPORT IA 52807

Officer/Director/Trustee Two

DEBBIE FISHER
TREASURER
PO BOX 1065
OSKALOOSA IA 52577

Officer/Director/Trustee Three

MOLLY MEKUS
OFFICER
2717 E 28TH COURT
DAVENPORT IA 52803

Officer/Director/Trustee Four

MEGHAN CORNISH
PROGRAM DIRECTOR
2040 CROMWELL CIRCLE
DAVENPORT IA 52807

Officer/Director/Trustee Five

CHAD DENNEY
PROGRAM DIRECTOR
131 GENEVA DRIVE
OSKALOOSA IA 52577

Organization’s website DJCGOLF.ORG
Organization’s email DANNYJOEGOLF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 JOHN CORNISH CORNISH
Signature Title PRESIDENT
Signature Date 5/3/19

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