FORM 1023-EZ for GRAPEVINE CLUB INC

Field Data
EIN 82-6026917
Case Number EO-2015072-000626
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAPEVINE CLUB INC
Organization’s Mailing Address 1518 W FORT STREET
City BOISE
State ID
ZIP 83702
Accounting period End 12
Primary contact name LESLIE MCFARLANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CANDACE NICHOLS
PRESIDENT
1704 1/2 N REGAL DR
BOISE ID 83704

Officer/Director/Trustee Two

STEPHEN LEWIS
TREASURER
5669 GARRETT ST 101
GARDEN CITY ID 83714

Officer/Director/Trustee Three

KATHLEEN LEWIS
SECRETARY
5669 GARRETT ST NO 101
GARDEN CITY ID 83714

Organization’s website
Organization’s email GRAPEVINEBOISE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/1952
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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