FORM 1023-EZ for FAIRWAY GOLF CLUB

Field Data
EIN 31-1245995
Case Number EO-2016097-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRWAY GOLF CLUB
Organization’s Mailing Address PO BOX 1565
City DAYTON
State OH
ZIP 45401-1565
Accounting period End 10
Primary contact name GRANT JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIAN DAVIS
PRESIDENT
9462 TAHOE DR
DAYTON OH 45458

Officer/Director/Trustee Two

CLAY DIXON
VICE PRESIDENT
700 TORRINGTON PL
DAYTON OH 45406

Officer/Director/Trustee Three

JOYCE BROWN
RECORDING SECRETARY
4540 ST JAMES ST
DAYTON OH 45406

Officer/Director/Trustee Four

GRANT JONES
FINANCIAL SECRETARY
306 REDWOOD AVE
DAYTON OH 45405-5116

Officer/Director/Trustee Five

GLORIA JACKSON
TREASURER
2143 SYCAMORE VIEW CT
DAYTON OH 45342

Organization’s website WWW.FAIRWAYGOLFCLUBDAYTON.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/1937
Organization Incorporation State OH
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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