FORM 1023-EZ for ARKANSAS HIGH SCHOOL BASSERS

Field Data
EIN 81-3381904
Case Number EO-2016309-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARKANSAS HIGH SCHOOL BASSERS
Organization’s Mailing Address 1605 JAMESON DRIVE
City BENTON
State AR
ZIP 72015
Accounting period End 6
Primary contact name TIM WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM WARD
INCORPORATOR
1605 JAMESON DRIVE
BENTON AR 72015

Officer/Director/Trustee Two

KEITH THOMPSON
INCORPORATOR
7101 SPRINGDALE ROAD
ALEXANDER AR 72002

Officer/Director/Trustee Three

DARRELL JOSLIN
INCORPORATOR
200 RANEY ROAD
BENTON AR 72019

Officer/Director/Trustee Four

KELLY SHAMLIN
INCORPORATOR
4501 SUSAN TRAIL
BENTON AR 72019

Officer/Director/Trustee Five

JASON HOLCOMB
INCORPORATOR
1504 OAK HILL DRIVE
WHITE HALL AR 71602

Organization’s website ARKANSASHIGHSCHOOLBASSERS.ORG
Organization’s email ARHSBASSERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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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