FORM 1023-EZ for BCH OUTDOOR ADVENTURE CLUB INC

Field Data
EIN 81-2506877
Case Number EO-2016288-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BCH OUTDOOR ADVENTURE CLUB INC
Organization’s Mailing Address 6817 S 49TH DRIVE
City LAVEEN
State AZ
ZIP 85339
Accounting period End 12
Primary contact name KYM BOUKAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYM BOUKAS
DIRECTOR
6817 S 49TH DRIVE
LAVEEN AZ 85339-8224

Officer/Director/Trustee Two

DELISSE GREEN
DIRECTOR
8730 E APPALOOSA TRAIL
SCOTTSDALE AZ 85258-1438

Officer/Director/Trustee Three

DAVE BRUNSTEIN
DIRECTOR
10610 S 48TH STREET
PHOENIX AZ 85044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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