FORM 1023-EZ for ONE-TIME HUNT CLUB INC

Field Data
EIN 81-3718775
Case Number EO-2017073-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE-TIME HUNT CLUB INC
Organization’s Mailing Address 146 MARLATT STREET
City PLAINVILLE
State IN
ZIP 47568
Accounting period End 12
Primary contact name MICHELLE KEITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY CREW
PRESIDENT
146 MARLATT STREET
PLAINVILLE IN 47568

Officer/Director/Trustee Two

MIKE KEITH
VICE-PRESIDENT
1226 E 675 N
WASHINTON IN 47501

Officer/Director/Trustee Three

MICHELLE KEITH
TREASURER
1226 E 675 N
WASHINGTON IN 47501

Officer/Director/Trustee Four

JARED SMITH
SECRETARY
9522 N 300 WEST
WASHINGTON IN 47568

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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