FORM 1023-EZ for UNION COUNTY UNITED YOUTH CLUB

Field Data
EIN 47-4710716
Case Number EO-2016123-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNION COUNTY UNITED YOUTH CLUB
Organization’s Mailing Address 121 BUSH DRIVE
City UNION
State SC
ZIP 29379-9014
Accounting period End 12
Primary contact name BOOKER T PEAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRAVIS PEAKE
DIRECTOR
121 BUSH DRIVE
UNION SC 29379-9014

Officer/Director/Trustee Two

BOOKER PEAKE
TREASURER
121 BUSH DRIVE
UNION SC 29379-9014

Officer/Director/Trustee Three

MELISSA BROWN
SECRETARY/OFFICER
1718 UNION BLVD
UNION SC 29379-9014

Officer/Director/Trustee Four

GAYLE PEAKE
COORDINATOR
121 BUSH DRIVE
UNION SC 29379-9014

Officer/Director/Trustee Five

BENNIE KERSHAW
COORDINATOR
203 SIMS DRIVE
UNION SC 29379-9014

Organization’s website
Organization’s email PEAKEBOOKER@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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 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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