FORM 1023-EZ for CEDAR HILLS GOLF INC

Field Data
EIN 46-4957203
Case Number EO-2015268-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CEDAR HILLS GOLF INC
Organization’s Mailing Address PO BOX 146
City WASHINGTON
State KS
ZIP 66968
Accounting period End 12
Primary contact name MARKUS FRESE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVE SAVAGE
PRESIDENT/DIRECTOR
510 PINE ST
GREENLEAF KS 66943

Officer/Director/Trustee Two

RUSS SLATER
VICE PRESIDENT/DIRECTOR
102 E LOCUST
MORROWVILLE KS 66958

Officer/Director/Trustee Three

SCOTT SAWIN
TREASURER/DIRECTOR
128 W 5TH ST
WASHINGTON KS 66968

Officer/Director/Trustee Four

MARK CHAPIN
SECRETARY/DIRECTOR
1392 QUIVIRA RD
WASHINGTON KS 66968

Officer/Director/Trustee Five

PAUL MONTY
DIRECTOR
1640 RAINBOW RD
WASHINGTON KS 66968

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2014
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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 No
One Third Support Gifts Yes
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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