FORM 1023-EZ for POTOSI FOOTBALL ASSOCIATION INCORPORATED

Field Data
EIN 82-5413109
Case Number EO-2018197-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POTOSI FOOTBALL ASSOCIATION INCORPORATED
Organization’s Mailing Address 10786 KEYES BRANCH RD
City CADET
State MO
ZIP 63630
Accounting period End 12
Primary contact name DONALD FOWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD FOWLER
PRESIDENT
10786 KEYS BRANCH
CADET MO 63630

Officer/Director/Trustee Two

COLE RICHARDS
VICE-PRESIDENT
112 OAK ST
POTOSI MO 63664

Officer/Director/Trustee Three

SHAY STARK
SEC/TREASURER
10755 BLACK ROCK RD
POTOSI MO 63664

Officer/Director/Trustee Four

ANDREW THORNTON
CHAIRMAN
N STATE HWY 21
CADET MO 63630

Officer/Director/Trustee Five

RODNEY GREENWALT
DIRECTOR
617 N COWLING SUITE D
DESLOGE MO 63601

Organization’s website
Organization’s email POTOSIFOOTBALLASSOCIATION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/18
Organization Incorporation State MO
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: Yes
Religious: No
Educational: Yes
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 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 DONALD FOWLER
Signature Title PRESIDENT
Signature Date 7/12/18

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