FORM 1023-EZ for AMERICAN BLUE GASCON HOUND ASSOCIATION

Field Data
EIN 25-1705679
Case Number EO-2018129-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN BLUE GASCON HOUND ASSOCIATION
Organization’s Mailing Address 6280 E FALMOUTH RD
City FALMOUTH
State MI
ZIP 49632
Accounting period End 12
Primary contact name NIKKI RIEDEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK CLARK
PRESIDENT
PO BOX 151
CRESTON OH 44217

Officer/Director/Trustee Two

ED MCNAMARA
VICE-PRESIDENT
22362 COUNTY RD 240
MOUNT VICTORY OH 43340

Officer/Director/Trustee Three

NIKKI RIEDEL
SEC/TRES
6280 E FALMOUTH RD
FALMOUTH MI 49632

Officer/Director/Trustee Four

LEVANTZ LEWIS
CHAIRMAN
7241 MOSS BLUFF CT
FOUNTAIN CO 80817

Officer/Director/Trustee Five

TRAVIS DAGGETT
DIRECTOR
39 MUDDY BROOK RD
NEW SHARON ME 4955

Organization’s website AMBLUEGASCON.COM
Organization’s email AMBLUEGASCON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/85
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NIKKI RIEDEL
Signature Title SEC/TRES
Signature Date 4/27/18

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