FORM 1023-EZ for SERGEANT AUDIE MURPHY CLUB FORT CAMPBELL KY CHAPTER
| Field | Data |
|---|---|
| EIN | 47-3060343 |
| Case Number | EO-2019035-000210 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SERGEANT AUDIE MURPHY CLUB FORT CAMPBELL KY CHAPTER |
| Organization’s Mailing Address | PO BOX 232 |
| City | FORT CAMPBELL |
| State | TN |
| ZIP | 42223 |
| Accounting period End | 5 |
| Primary contact name | ERIC SERRANO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ERIC SERRANO
PRESIDENT
3461 BRADFIELD DR
CLARKSVILLE TN 37042
Officer/Director/Trustee Two
DENEISE MCFARLANE
VICE-PRESIDENT
3426 OCONNOR LANE
CLARKSVILLE TN 37042
Officer/Director/Trustee Three
MARIE RUBIN
SECRETARY
1730 CABANA DRIVE
CLARKSVILLE TN 37042
Officer/Director/Trustee Four
GREGORY RIOS
TREASURER
226 EAST JOHNSON CIRCLE
CLARKSVILLE TN 37040
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/15/15 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W30 - Military, Veterans' Organizations |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ERIC SERRANO |
| Signature Title | PRESIDENT |
| Signature Date | 1/13/19 |
| EIN | 47-3060343 |
| Case Number | EO-2015065-000252 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FORT CAMPBELL SERGEANT AUDIE MURPHYCLUB |
| Organization’s Mailing Address | P O BOX 812 |
| City | FORT CAMPBELL |
| State | KY |
| ZIP | 42223 |
| Accounting period End | 12 |
| Primary contact name | SFC LATHAM ANTHONY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
ANTHONY LATHAM
TREASURER
P O BOX 26
FORT CAMPBELL KY 42223
Officer/Director/Trustee Two
OLANREWAJU ANIBABA
PRESIDENT
1419 JENNY LANE
CLARKSVILLE TN 37042
Officer/Director/Trustee Three
BRIAN VESTAL
VICE PRESIDENT
1409 BREW MOSS DR
CLARKSVILLE TN 37043
Officer/Director/Trustee Four
CATHERINE TIMBS
SECRETARY
1881 JACKIE LORRAINE DR
CLARKSVILLE TN 37042
| Organization’s website | HTTP://WWW.CAMPBELL.ARMY.MIL/SAMC/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/13/2013 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| Organization’s purpose | Charitable: Yes 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 | 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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