FORM 1023-EZ for WESTERN BOONE BASEBALL BACKERS

Field Data
EIN 47-3388771
Case Number EO-2019063-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN BOONE BASEBALL BACKERS
Organization’s Mailing Address 3331 S 900 W
City JAMESTOWN
State IN
ZIP 46147
Accounting period End 12
Primary contact name KEVIN PRICKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN PRICKETT
PRESIDENT
3331 S 900 W
JAMESTOWN IN 46147

Officer/Director/Trustee Two

RAMEY DURBIN
TREASURER
6536 W HAZELRIGG RD
THORNTOWN IN 46071

Officer/Director/Trustee Three

LAURIE BROMBEREK
SECRETARY
5750 N 200 W
LEBANON IN 46052

Officer/Director/Trustee Four

JEREMY YOUNG
BOARD MEMBER
315 S MARKET ST
THORNTOWN IN 46071

Officer/Director/Trustee Five

SHANNON PRICKETT
BOARD MEMBER
3331 S 900 W
JAMESTOWN IN 46147

Organization’s website N/A
Organization’s email KEVINPRICKETT92@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/15
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN PRICKETT
Signature Title PRESIDENT
Signature Date 2/28/19

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