FORM 1023-EZ for MID COAST SMACKDOWN

Field Data
EIN 83-2366509
Case Number EO-2019039-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID COAST SMACKDOWN
Organization’s Mailing Address 11 RAVENS PERCH
City BRYAN
State TX
ZIP 77808
Accounting period End 12
Primary contact name JASON KEMPENSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON KEMPENSKI
PRESIDENT
11 RAVENS PERCH
BRYAN TX 77808

Officer/Director/Trustee Two

JOSH CRISP
VICE PRESIDENT
2959 CR 114
NIXON TX 78140

Officer/Director/Trustee Three

CLINT DISTEFANO
TREASURY
1915 BROADWAY 515
SAN ANTONIO TX 78215

Officer/Director/Trustee Four

BRENDA BILLINGS
FINANICAL SECRETARY
2959 CR 114
NIXON TX 78140

Officer/Director/Trustee Five

STEPHANIE JANELL
RECORDING SECRETARY
1008 WOSNIG
SEGUIN TX 78155

Organization’s website
Organization’s email MIDCOASTSMACKDOWNTOURNAMENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 Yes
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 JASON KEMPENSKI
Signature Title PRESIDENT
Signature Date 2/5/19

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