FORM 1023-EZ for AVON BOYS UPPER NINETY CLUB INC

Field Data
EIN 84-2749450
Case Number EO-2019231-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVON BOYS UPPER NINETY CLUB INC
Organization’s Mailing Address 7896 AMSTERDAM COURT
City AVON
State IN
ZIP 46123
Accounting period End 12
Primary contact name TONYA POHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONYA POHL
PRESIDENT
7896 AMSTERDAM COURT
AVON IN 46123

Officer/Director/Trustee Two

NATALIE BULLOCK
VICE PRESIDENT
7823 BEECHWOOD FARMS DRIVE
AVON IN 46123

Officer/Director/Trustee Three

MARIA KATSIMPALIS
SECRETARY
7083 MILLET LANE
AVON IN 46123

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 TONYA POHL
Signature Title PRESIDENT
Signature Date 8/16/19

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