FORM 1023-EZ for AMPO TIP-IN CLUB

Field Data
EIN 84-2840123
Case Number EO-2019248-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMPO TIP-IN CLUB
Organization’s Mailing Address PO BOX 38
City AMBER
State OK
ZIP 73004
Accounting period End 12
Primary contact name APRIL KECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN KECK
PRESIDENT
856 LIVE OAK LANE
BLANCHARD OK 73010

Officer/Director/Trustee Two

RENEE HOWE
VICE-PRESIDENT
2177 CR 2920
CHICKASHA OK 73018

Officer/Director/Trustee Three

APRIL KECK
SECRETARY
856 LIVE OAK LANE
BLANCHARD OK 73010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN KECK
Signature Title PRESIDENT
Signature Date 9/3/19

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