FORM 1023-EZ for MASON DIXON MYOTONIC GOAT CLUB

Field Data
EIN 83-3274875
Case Number EO-2019037-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASON DIXON MYOTONIC GOAT CLUB
Organization’s Mailing Address 14909 BOLLINGER RD
City ROCKY RIDGE
State MD
ZIP 21778
Accounting period End 12
Primary contact name GRETCHEN VAN ECHO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRETCHEN VAN ECHO
BOARD OF DIRECTOR
14909 BOLLINGER RD
ROCKY RIDGE MD 21778

Officer/Director/Trustee Two

JESSICA WILFONG
BOARD OF DIRECTOR
1081 FREEDOM CRIDER RD
FREEDOM PA 15042

Officer/Director/Trustee Three

TOM SMITH
BOARD OF DIRECTOR
28550 RIDGE RD
MOUNT AIRY MD 21771

Officer/Director/Trustee Four

HEATHER BEEBE
BOARD OF DIRECTOR
10167 WILMINGTON STREET
MANASSAS VA 20109

Officer/Director/Trustee Five

BETH WHIPP SMITH
BOARD OF DIRECTOR
28550 RIDGE RD
MOUNT AIRY MD 21771

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 GRETCHEN VAN ECHO
Signature Title BOARD OF DIRECTOR
Signature Date 1/24/19

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