FORM 1023-EZ for THE GALLIPOLIS JUNIOR WOMENS CLUB

Field Data
EIN 31-1178422
Case Number EO-2015292-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GALLIPOLIS JUNIOR WOMENS CLUB
Organization’s Mailing Address PO BOX 1170
City GALLIPOLIS
State OH
ZIP 45631
Accounting period End 12
Primary contact name SHAYNA CHAPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIDGIT HARRIS
PRESIDENT
238 CARMAN DRIVE
GALLIPOLIS OH 45631

Officer/Director/Trustee Two

SELINA MITCHELL
1ST VP
9634 BULAVILLE PIKE
BIDWELL OH 45614

Officer/Director/Trustee Three

BRITTANY BEMAN
2ND VP
PO BOX 1170
GALLIPOLIS OH 45631

Officer/Director/Trustee Four

CRYSTAL COX
TREASURER
PO BOX 1170
GALLIPOLIS OH 45631

Officer/Director/Trustee Five

SHAYNA CHAPMAN
TAX TRUSTEE
64 STATE STREET
GALLIPOLIS OH 45631

Organization’s website N/A
Organization’s email GJWC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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