FORM 1023-EZ for CUMBERLAND BOOMSTICKS

Field Data
EIN 35-2721191
Case Number EO-2021228-000271
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CUMBERLAND BOOMSTICKS
Organization’s Mailing Address 236 COUNTY ROAD 1900 EAST
City GREENUP
State IL
ZIP 62428
Accounting period End 12
Primary contact name KELLY SUTHERLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY SUTHERLAND
PRESIDENT
236 COUNTY ROAD 1900 EAST
GREENUP IL 62428

Officer/Director/Trustee Two

DAVE CLARK
VICE PRESIDENT
508 WEST MAIN STREET
TOLEDO IL 62468

Officer/Director/Trustee Three

JASON RUSSELL
SECRETARY
100 7TH STREET
JEWETT IL 62436

Officer/Director/Trustee Four

LEAH TEDRICK
TREASURER
3377 COUNTY HWY 23
SIGEL IL 62462

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLY SUTHERLAND
Signature Title PRESIDENT
Signature Date 8/12/2021

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