FORM 1023-EZ for KAYLEIGHS CLUB

Field Data
EIN 82-5264189
Case Number EO-2018255-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAYLEIGHS CLUB
Organization’s Mailing Address 6800 BURNET RD SUITE 2
City AUSTIN
State TX
ZIP 78757
Accounting period End 12
Primary contact name KIMBERLY DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY DAVIS
PRESIDENT, DIRECTOR
6800 BURNET RD SUITE 2
AUSTIN TX 78757

Officer/Director/Trustee Two

LUCAS MANRING
SECRETARY, DIRECTOR
6800 BURNET RD SUITE 2
AUSTIN TX 78757

Officer/Director/Trustee Three

JONATHAN DAVIS
DIRECTOR
6800 BURNET RD SUITE 2
AUSTIN TX 78757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIMBERLY DAVIS
Signature Title PRESIDENT, DIRECTOR
Signature Date 9/10/18

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