FORM 1023-EZ for OKAHUMPKA COMMUNITY CLUB INC

Field Data
EIN 26-4286119
Case Number EO-2021125-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OKAHUMPKA COMMUNITY CLUB INC
Organization’s Mailing Address P O BOX 174
City OKAHUMPKA
State FL
ZIP 34762
Accounting period End 9
Primary contact name CHARLES K FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE GIBBS
PRESIDENT
P O BOX 834
OKAHUMPKA FL 34762

Officer/Director/Trustee Two

VELMA SMITH
VICE PRESIDENT
P O BOX 6
OKAHUMPKA FL 34762-3203

Officer/Director/Trustee Three

CHARLES FIELDS
TREASURER
4148 CR 48
OKAHUMPKA FL 34762

Officer/Director/Trustee Four

BARRY DIXON
SECRETARY
4301 N HWY 19-A LOT 110
MT. DORA FL 32757

Officer/Director/Trustee Five

AMANDA BORDENKIRCHER
BOARD OF DIRECTOR MEMBER
4314 CORLEY ISLAND ROAD
LEESBURG FL 34748

Organization’s website OKAHUMPKA.ORG
Organization’s email OKAHUMPKACOMMUNITYCLUBINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DENISE GIBBS
Signature Title PRESIDENT
Signature Date 5/2/2021

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