FORM 1023-EZ for GRIDIRON CLUB INC

Field Data
EIN 82-1397115
Case Number EO-2017125-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRIDIRON CLUB INC
Organization’s Mailing Address P O BOX 292
City ROSE HILL
State KS
ZIP 67133
Accounting period End 12
Primary contact name LARRY CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY CARLSON
PRESIDENT
17335 SW ASHWIND RD
ROSE HILL KS 67133

Officer/Director/Trustee Two

ADA JONES
VICE PRESIDENT
13156 SW 170TH
ROSE HILL KS 67133

Officer/Director/Trustee Three

GINA GEER
SECRETARY
14699 SW MEADOWLARK RD
ROSE HILL KS 67133

Officer/Director/Trustee Four

HEATHER SAPP
TREASURER
803 CANDIA CR
ROSE HILL KS 67133

Officer/Director/Trustee Five

ALEX LANE
TREASURER
15331 E 71ST STREET SOUTH
DERBY KS 67037

Organization’s website WWW.ROCKETATHLETICS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2017
Organization Incorporation State KS
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: 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
Signature Title
Signature Date

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