FORM 1023-EZ for GREGORY COUNTY 4-H LEADERS CORPORATION

Field Data
EIN 85-1916118
Case Number EO-2020198-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREGORY COUNTY 4-H LEADERS CORPORATION
Organization’s Mailing Address PO BOX 232
City BURKE
State SD
ZIP 57523-0232
Accounting period End 12
Primary contact name LAURA KAHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BAILEY
DIRECTOR
29373 WCC ROAD
BONESTEEL SD 57317

Officer/Director/Trustee Two

JAKE IMHOF
DIRECTOR
33338 287TH STREET
DALLAS SD 57529

Officer/Director/Trustee Three

ROCHELLE TIETGEN
DIRECTOR
30128 SD HIGHWAY 47
BURKE SD 57523

Officer/Director/Trustee Four

MELANIE HANNAHS
DIRECTOR
1303 RICE AVENUE
GREGORY SD 57533

Officer/Director/Trustee Five

LAURA KAHLER
DIRECTOR
221 E 8TH STREET
BURKE SD 57523

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2020
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
Organization’s purpose Charitable: No
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 LAURA KAHLER
Signature Title DIRECTOR
Signature Date 7/14/2020

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