FORM 1023-EZ for COMMUNITY CLUB OF DUBOIS INC

Field Data
EIN 35-1271373
Case Number EO-2019213-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY CLUB OF DUBOIS INC
Organization’s Mailing Address 5101 N DUBOIS RD NE PO BOX 44
City DUBOIS
State IN
ZIP 47527
Accounting period End 12
Primary contact name ALEXANDRA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA BAGLAN
PRESIDENT
5055 N DUBOIS RD NE
DUBOIS IN 47527

Officer/Director/Trustee Two

DEREK JONES
VICE PRESIDENT
5330 E JACKSON ST
DUBOIS IN 47527

Officer/Director/Trustee Three

NEIL RASCHE
SECRETARY
1615 MILL STREET
JASPER IN 47546

Officer/Director/Trustee Four

ALEXANDRA JONES
TREASURER
5330 E JACKSON ST
DUBOIS IN 47527

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 Yes
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 ALEXANDRA JONES
Signature Title TREASURER
Signature Date 7/30/19

Recently Saved Organizations

Click on the save icon from a search results or organization page.