FORM 1023-EZ for GOLD COUNTRY DISC GOLF ASSOCIATION

Field Data
EIN 82-2934244
Case Number EO-2018288-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLD COUNTRY DISC GOLF ASSOCIATION
Organization’s Mailing Address 14406 FALLING STAR LANE
City GRASS VALLEY
State CA
ZIP 95949
Accounting period End 1
Primary contact name CHRISTOPHER CARPENTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HOWELL
CHIEF EXECUTIVE OFFICER
16448 BANNER QUAKER HILL RD
NEVADA CITY CA 95959

Officer/Director/Trustee Two

CHRISTOPHER CARPENTER
CHIEF OPPERATING OFFICER
14406 FALLING STAR LANE
GRASS VALLEY CA 95949

Officer/Director/Trustee Three

MICHAEL WOODMAN
CHIEF FINANCIAL OFFICER
10530 ALTA SIERRA
GRASS VALLEY CA 95949

Organization’s website WWW.GOLDCOUNTRYDGA.ORG
Organization’s email GOLDCOUNTRYDGASSN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 CHRISTOPHER CARPENTER
Signature Title CHIEF OPPERATING OFFICER
Signature Date 10/11/18

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