FORM 1023-EZ for CLARKSVILLE MUDCATS TRAVEL BASEBALLINC

Field Data
EIN 82-2477143
Case Number EO-2019042-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLARKSVILLE MUDCATS TRAVEL BASEBALLINC
Organization’s Mailing Address 6096 WOODS VALLEY RD
City CUMBERLAND FURNACECU
State TN
ZIP 37051
Accounting period End 12
Primary contact name JAMES AZARIGIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES AZARIGIAN
PRESIDENT/DIRECTOR
6096 WOODS VALLEY RD
CUMBERLAND FURNACECU TN 37051

Officer/Director/Trustee Two

DAYNA TUMMINS
TREASURER/DIRECTOR
105 CROSSWAY DR
DICKSON TN 37055

Officer/Director/Trustee Three

JOSH DACHTLER
VICE-PRESIDENT/DIRECTOR
4900 OLD CLARKSVILLE PIKE
ASHLAND CITY TN 37015

Officer/Director/Trustee Four

MISTY HUDDLESTON
SECRETARY/DIRECTOR
112 STRATTON BLVD
ASHLAND CITY TN 37015

Organization’s website
Organization’s email MUDCATS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 JAMES AZARIGIAN
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/8/19

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