FORM 1023-EZ for FAYETTEVILLE DISC GOLF ASSOCIATIONINC

Field Data
EIN 47-4535283
Case Number EO-2015341-000474
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAYETTEVILLE DISC GOLF ASSOCIATIONINC
Organization’s Mailing Address 16 WEST RAINSONG
City FARMINGTON
State AR
ZIP 72730
Accounting period End 6
Primary contact name BEN HUSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEN HUSS
VICE PRESIDENT
16 WEST RAINSONG
FARMINGTON AR 72730

Officer/Director/Trustee Two

RAY MOORE
PRESIDENT
3055 MT COMFORT RD
FAYETTEVILLE AR 72704

Officer/Director/Trustee Three

BYRON VAUGHN
SECRETARY
141 WEST BEECH DR
ROGERS AR 72756

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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