FORM 1023-EZ for D IBERVILLE YOUTH FOOTBALL LEAGUE

Field Data
EIN 94-3432825
Case Number EO-2019029-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name D IBERVILLE YOUTH FOOTBALL LEAGUE
Organization’s Mailing Address 12365 N OAKLAWN LN
City BILOXI
State MS
ZIP 39532
Accounting period End 12
Primary contact name ANDREA ARGUELLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK LASSERE
PRESIDENT
684 ORCHARD DR
DIBERVILLE MS 39540

Officer/Director/Trustee Two

RIC ARGUELLES
VICE PRESIDENT
12365 N OAKLAWN LN
BILOXI MS 39532

Officer/Director/Trustee Three

TIFFANY PRESTON
SECRETARY
14601 BIG JOHN RD
BILOXI MS 39532

Officer/Director/Trustee Four

ANDREA ARGUELLES
TREASURER
12365 N OAKLAWN LN
BILOXI MS 39532

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/18
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: Yes
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 ANDREA ARGUELLES
Signature Title TREASURER
Signature Date 12/17/18

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