FORM 1023-EZ for FORT DISC GOLF CLUB INC

Field Data
EIN 84-4845197
Case Number EO-2020127-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT DISC GOLF CLUB INC
Organization’s Mailing Address 5717 SOLON ROAD
City FORT WAYNE
State IN
ZIP 46818-9722
Accounting period End 12
Primary contact name JOSH KEMERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN WILSON
PRESIDENT
6935 SAXTON RUN
FORT WAYNE IN 46835-2624

Officer/Director/Trustee Two

COURTNEY FASSOLD
VICE-PRESIDENT
222 TREELINE COVE
FORT WAYNE IN 46825-1132

Officer/Director/Trustee Three

JOSH KEMERY
TREASURER
5717 SOLON ROAD
FORT WAYNE IN 46818-9722

Officer/Director/Trustee Four

DAVID WALTERS
SECRETARY
911 FOREST AVE
FORT WAYNE IN 46805-3424

Officer/Director/Trustee Five

BLAKE HOHLBEIN
MARKETING COORDINATOR
605 COPPERFIELD DRIVE
FORT WAYNE IN 46825-4076

Organization’s website WWW.FORTDISCGOLF.COM
Organization’s email FORTWAYNEDISCGOLF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 JOSH KEMERY
Signature Title TREASURER
Signature Date 5/4/2020

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