FORM 1023-EZ for THE MICHAEL BOLIN MEMORIAL GOLF TOURNAMENT

Field Data
EIN 81-1521532
Case Number EO-2016190-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MICHAEL BOLIN MEMORIAL GOLF TOURNAMENT
Organization’s Mailing Address 1601 S KIMBEOUGH AVE
City SPRINGFIELD
State MO
ZIP 65807-2019
Accounting period End 12
Primary contact name CODY HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CODY HANSEN
CHAIRMAN
1601 S KIMBROUGH AVE
SPRINGFIELD MO 65807-2019

Officer/Director/Trustee Two

KURT RICHMOND
DIRECTOR
48 MEADOWBROOK COUNTRY CLUB ESTATES
BALLWIN MO 63011-1699

Officer/Director/Trustee Three

KYLE ESTES
DIRECTOR
5825 N 25TH ST
OZARK MO 65721-5830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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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