FORM 1023-EZ for PEGGY SHERRELL MEMORIAL GOLF SCRAMBLE

Field Data
EIN 46-0571267
Case Number EO-2018178-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEGGY SHERRELL MEMORIAL GOLF SCRAMBLE
Organization’s Mailing Address 5201 SAINT JOHNS ROAD
City GREENVILLE
State IN
ZIP 47124
Accounting period End 4
Primary contact name CORTNEY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORTNEY JOHNSON
CO-CHAIR
5201 SAINT JOHNS ROAD
GREENVILLE IN 47124

Officer/Director/Trustee Two

TYLER SHERRELL
CO-CHAIR
5097 SAINT JOHNS ROAD
GREENVILLE IN 47124

Officer/Director/Trustee Three

TODD SHERRELL
CO-CHAIR
5381 SAINT JOHNS ROAD
GREENVILLE IN 47124

Organization’s website PSHERRELLMEMORIALGS.ORG
Organization’s email PSHERRELLMEMORIALGS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/10
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 CORTNEY JOHNSON
Signature Title CO-CHAIR
Signature Date 6/25/18

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