FORM 1023-EZ for ST MARIES LUMBERJACK YOUTH FOOTBALL

Field Data
EIN 84-2225808
Case Number EO-2019199-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST MARIES LUMBERJACK YOUTH FOOTBALL
Organization’s Mailing Address 1121 LINCOLN AVE
City ST MARIES
State ID
ZIP 83861
Accounting period End 12
Primary contact name JOSH HARVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN CRAVENS
OFFICER
1005 COLLEGE AVE
ST MARIES ID 83861

Officer/Director/Trustee Two

JOSHUA HARVEY
OFFICER
1121 LINCOLN AVE
ST MARIES ID 83861

Officer/Director/Trustee Three

JESSICA HARVEY
OFFICER
1121 LINCOLN AVE
ST MARIES ID 83861

Officer/Director/Trustee Four

REBECCA BRUSSEAU
OFFICER
PO BOX 253
SANTA ID 83866

Organization’s website
Organization’s email JOSHHARVEY134@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/19
Organization Incorporation State ID
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 Yes
Correctness Declaration Yes
Signature Name JOSHUA HARVEY
Signature Title OFFICER
Signature Date 7/16/19

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