FORM 1023-EZ for XABULA CHARITIES CORPORATION

Field Data
EIN 83-4678903
Case Number EO-2020111-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XABULA CHARITIES CORPORATION
Organization’s Mailing Address 5 TREVILLA CT
City FORT THOMAS
State KY
ZIP 41075
Accounting period End 12
Primary contact name CHUCK VAN GORDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DION REID
PRESIDENT/TREASURER
5 TREVILLA CT
FORT THOMAS KY 41075

Officer/Director/Trustee Two

STEPHANIE JACOBS
SECRETARY/DIRECTOR
9144 JACKIES BEND
REYNOLDSBURGH OH 43068

Organization’s website HTTP://WWW.XABULACHARITIES.COM
Organization’s email DIONJREID@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2019
Organization Incorporation State KY
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 Yes
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 DION REID
Signature Title PRESIDENT/TREASURER
Signature Date 4/16/2020

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