FORM 1023-EZ for THE HUBBERTVILLE COMMUNITY SERVICE CLUB

Field Data
EIN 82-1916704
Case Number EO-2017268-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HUBBERTVILLE COMMUNITY SERVICE CLUB
Organization’s Mailing Address 7360 CO ROAD 49
City FAYETTE
State AL
ZIP 35555
Accounting period End 12
Primary contact name JERRY PORCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN AFSHAR
PRESIDENT
55 GARDENVIEW DRIVE
WINFIELD AL 35594

Officer/Director/Trustee Two

JERRY PORCH
VICE PRESIDENT
10293 HWY 129
ELDRIDGE AK 35554

Officer/Director/Trustee Three

BRIAN FISHER
TREASURER
467 LUXAPALLILA RD
FAYETTE AL 35555

Officer/Director/Trustee Four

TERRI PORCH
SECRETARY
10293 HWY 129
ELDRIDGE AL 35554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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