FORM 1023-EZ for KERR COUNTY AM CLUB

Field Data
EIN 74-1952603
Case Number EO-2017198-000526
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KERR COUNTY AM CLUB
Organization’s Mailing Address P O BOX 148
City INGRAM
State TX
ZIP 78025
Accounting period End 12
Primary contact name SCOTT A CHAPMAN DVM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT A CHAPMAN
CHAIRMAN
P O BOX 148
INGRAM TX 78025

Officer/Director/Trustee Two

JACK PATTERSON
TREASURER
P O BOX 148
INGRAM TX 78025

Officer/Director/Trustee Three

JOHN PENALOZA
TRUSTEE
P O BOX 148
INGRAM TX 78025

Officer/Director/Trustee Four

WB PATTERSON IV
TRUSTEE
P O BOX 148
INGRAM TX 78025

Organization’s website KERR.AGGIENETWORK.COM
Organization’s email KERRAGGIECLUB@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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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