FORM 1023-EZ for 1607 CLUB INC

Field Data
EIN 82-2000598
Case Number EO-2018039-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1607 CLUB INC
Organization’s Mailing Address 1607 EASTERN AVE
City COVINGTON
State KY
ZIP 41014
Accounting period End 12
Primary contact name JAMES BASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS JAMES
CHAIRMAN OF BOARD
1607 EASTERN AVE
COVINGTON KY 41014

Officer/Director/Trustee Two

WILLIAM NORTON
VICE CHAIRMAN
1607 EASTERN AVE
COVINGTON KY 41014

Officer/Director/Trustee Three

CRYSTAL HILIAU
SECRETARY
1607 EASTERN AVE
COVINGTON KY 41014

Officer/Director/Trustee Four

DUANE BASS
TREASURER
1607 EASTERN AVE
COVINGTON KY 41014

Officer/Director/Trustee Five

MATTHEW POST
HEAD OF MAINTANCE
1607 EASTERN AVE
COVINGTON KY 41014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/17
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 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 DUANE BASS
Signature Title TREASURER
Signature Date 2/6/18

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