FORM 1023-EZ for PEARL YOUTH FOOTBALL ASSOCIATION

Field Data
EIN 81-4298102
Case Number EO-2016309-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEARL YOUTH FOOTBALL ASSOCIATION
Organization’s Mailing Address 2708 OLD BRANDON RD
City PEARL
State MS
ZIP 39208
Accounting period End 12
Primary contact name JOSH WINDHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY FOY
PRESIDENT
1844 TWIN PINE DR
PEARL MS 39208

Officer/Director/Trustee Two

MELISSA JONES
VICE PRESIDENT
1964 LOYD ST
PEARL MS 39208

Officer/Director/Trustee Three

HOLLY MEDINA
TREASURER
415 HOMEWOOD
PEARL MS 39208

Officer/Director/Trustee Four

CHASITY KEENAN
SECRETARY
532 OAK PARK CIRCLE
PEARL MS 39208

Officer/Director/Trustee Five

CHRIS SIMS
VICE PRESIDENT
317 TURCOTTE ST
PEARL MS 39208

Organization’s website WWW.PEARLYOUTHFOOTBALL.COM
Organization’s email JOSH@WINDHAMANDLACEY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/1998
Organization Incorporation State MS
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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