FORM 1023-EZ for BULLDOG QUARTERBACK CLUB

Field Data
EIN 85-0870766
Case Number EO-2020181-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BULLDOG QUARTERBACK CLUB
Organization’s Mailing Address PO BOX 67
City BROOKFIELD
State MO
ZIP 64628
Accounting period End 12
Primary contact name KEN POLLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH POLLEY
REGISTERED AGENT
21592 HWY V
BROOKFIELD MO 64628

Officer/Director/Trustee Two

NATHAN STUFFLEBEAN
PRESIDENT
508 WORLOW
LACLEDE MO 64651

Officer/Director/Trustee Three

BILL THUDIUM
VICE PRESIDENT
423 N LIVINGSTON STREET
BROOKFIELD MO 64628

Officer/Director/Trustee Four

JARROD BLACK
TREASURER
225 NORTH PERSHING DRIVE
BROOKFIELD MO 64628

Officer/Director/Trustee Five

NILE THUDIUM
SECRETARY
907 N MONROE STREET
BROOKFIELD MO 64628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 KENNETH POLLEY
Signature Title REGISTERED AGENT
Signature Date 6/25/2020

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