FORM 1023-EZ for KARNES COUNTY A&M CLUB

Field Data
EIN 83-3363608
Case Number EO-2019038-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KARNES COUNTY A&M CLUB
Organization’s Mailing Address 1470 PRIVATE ROAD 6232
City KARNES CITY
State TX
ZIP 78118
Accounting period End 12
Primary contact name MARK GOTTHARDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER ROUSE
PRESIDENT
1470 PRIVATE ROAD 6232
KARNES CITY TX 78118

Officer/Director/Trustee Two

ROBERT SEAL
VICE-PRESIDENT
1470 PRIVATE ROAD 6232
KARNES CITY TX 78118

Officer/Director/Trustee Three

MELANIE JOHNSON
SECRETARY
1470 PRIVATE ROAD 6232
KARNES CITY TX 78118

Officer/Director/Trustee Four

MARK GOTTHARDT
TREASURER
1470 PRIVATE ROAD 6232
KARNES CITY TX 78118

Officer/Director/Trustee Five

MARK PIEPRZYCA
DIRECTORY
1470 PRIVATE ROAD 6232
KARNES CITY TX 78118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 MARK GOTTHARDT
Signature Title TREASURER
Signature Date 1/31/19

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