FORM 1023-EZ for CLEBURNE CHRISTIAN BUSINESS CLUB

Field Data
EIN 75-1609397
Case Number EO-2017195-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEBURNE CHRISTIAN BUSINESS CLUB
Organization’s Mailing Address 1018 JANEHAVEN LAKES
City CLEBURNE
State TX
ZIP 76033
Accounting period End 4
Primary contact name VANCE CASTLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEN SHAW
PRESIDENT
909 PRAIRIE AVE
CLEBURNE TX 76033

Officer/Director/Trustee Two

CAROL COOPER
SECRETARY
1319 LOMA ALTA PLACE
CLEBURNE TX 76033

Officer/Director/Trustee Three

DON DAVIS
TREASURER
806 STONELAKE DRIVE
CLEBURNE TX 76033

Officer/Director/Trustee Four

ADAM KING
VICE PRESIDENT
1102 E KILPATRICK STREET SUITE A
CLEBURNE TX 76031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/1978
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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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