FORM 1023-EZ for CODELL COMMUNITY SERVICE CLUB INC

Field Data
EIN 47-3490415
Case Number EO-2015084-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CODELL COMMUNITY SERVICE CLUB INC
Organization’s Mailing Address C/O 515 RUSSELL AVENUE
City WAKEENEY
State KS
ZIP 67672
Accounting period End 12
Primary contact name SUSAN J WHITFIELD HARDING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER KIBBEE
MEMBER OF BOARD OF DIRECTORS
2445 Z TERRACE
NATOMA KS 67651

Officer/Director/Trustee Two

DANIELLE WELLS
MEMBER OF BOARD OF DIRECTORS
302 5TH ST
CODELL KS 67663

Officer/Director/Trustee Three

AMANDA RUSSELL
MEMBER OF BOARD OF DIRECTORS
107 CODELL ROAD
CODELL KS 67663

Officer/Director/Trustee Four

LUKE HACHMEISTER
MEM
2340AA ROAD
PLAINVILLE KS 67663

Officer/Director/Trustee Five

MARIANNE WERNER
MEMBER OF BOARD OF DIRECTORS
290 CODELL ROAD
CODELL KS 67663

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
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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