FORM 1023-EZ for MOSCOW HIGH SCHOOL BEARS GRIDIRON CLUB INC

Field Data
EIN 81-2073871
Case Number EO-2016123-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSCOW HIGH SCHOOL BEARS GRIDIRON CLUB INC
Organization’s Mailing Address 909 INDIAN HILLS DRIVE
City MOSCOW
State ID
ZIP 83843
Accounting period End 12
Primary contact name MARK WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK WATSON
TREASURER
1913 E E ST
MOSCOW ID 83843

Officer/Director/Trustee Two

BRETT BENNETT
PRESIDENT
1021 RANDALL FLAT ROAD
MOSCOW ID 83843

Officer/Director/Trustee Three

BRIAN NICKERSON
1ST VICE PRESIDENT
2122 EAST D STREET
MOSCOW ID 83843

Officer/Director/Trustee Four

MAURI KNOTT
2ND VICE PRESIDENT
1801 CARMICHAEL ROAD
MOSCOW ID 83843

Officer/Director/Trustee Five

LORI CLARY
SECRETARY
5050 LENVILLE ROAD
MOSCOW ID 83843

Organization’s website WWW.MHSBEARSGRIDIRONCLUB.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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
Signature Title
Signature Date

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