FORM 1023-EZ for PEA RIDGE YOUTH SPORTS

Field Data
EIN 45-1257428
Case Number EO-2017160-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEA RIDGE YOUTH SPORTS
Organization’s Mailing Address PO BOX 353
City PEA RIDGE
State AR
ZIP 72751
Accounting period End 8
Primary contact name KORINA M IGLEHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KORINA IGLEHART
TREASUER
13672 TAYLOR BARNETT RD
GARFIELD AR 72732

Officer/Director/Trustee Two

JERRY COOK
PRESIDENT
HAYDEN ROAD
PEA RIDGE AR 72751

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2013
Organization Incorporation State AR
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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