FORM 1023-EZ for LADY PATRIOTS SOFTBALL

Field Data
EIN 82-4153174
Case Number EO-2018201-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY PATRIOTS SOFTBALL
Organization’s Mailing Address 4108 WATERVILLE CT
City RAPID CITY
State SD
ZIP 57702
Accounting period End 12
Primary contact name HEATHER BLAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACE WALTMAN
PRESIDENT
412 LINE RD
BOX ELDER SD 57719

Officer/Director/Trustee Two

HEATHER BLAIR
VICE PRESIDENT
5622 PLUTO ST
RAPID CITY SD 57703

Officer/Director/Trustee Three

JENNIFER DURHAM
TREASURE
4108 WATERVILLE CT
RAPID CITY SD 57702

Officer/Director/Trustee Four

ANNDEE SCHMIDT
MEMBER
15228 225TH ST
BOX ELDER SD 57719

Officer/Director/Trustee Five

MONICA ARREDONDO
SECRETARY
201 VINE ST
ELLSWORTH AFB SD 57706

Organization’s website NONE
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State SD
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: 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 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 HEATHER BLAIR
Signature Title VICE PRESIDENT
Signature Date 7/18/18

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