FORM 1023-EZ for PERRY YOUTH FOOTBALL

Field Data
EIN 85-1030055
Case Number EO-2020218-000118
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERRY YOUTH FOOTBALL
Organization’s Mailing Address PO BOX 122
City PERRY
State IA
ZIP 50220
Accounting period End 12
Primary contact name MATTHEW HARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW HARDY
PRESIDENT
309 8TH STREET
PERRY IA 50220

Officer/Director/Trustee Two

COREY IBEN
VICE PRESIDENT
830 SUMMER MEADOWS COURT
PERRY IA 50220

Officer/Director/Trustee Three

LINDSEY BRELSFORD
SECRETARY
361 332ND PLACE
PERRY IA 50220

Officer/Director/Trustee Four

TIFFANY OLEJNICZAK
TREASURER
20087 130TH STREET
PERRY IA 50220

Organization’s website
Organization’s email BLUEJAYYOUTHFOOTBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2020
Organization Incorporation State IA
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: Yes
Religious: No
Educational: Yes
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 MATTHEW HARDY
Signature Title PRESIDENT
Signature Date 8/2/2020

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