FORM 1023-EZ for USA SMALL TOWN SPORTS INC

Field Data
EIN 47-5062363
Case Number EO-2016327-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name USA SMALL TOWN SPORTS INC
Organization’s Mailing Address 22428 STANAFORD ROAD
City DANESE
State WV
ZIP 25831
Accounting period End 7
Primary contact name ROBIN SHEETS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY DEAN TOMPKINS
PRESIDENT
184 COPPERHEAD ROAD
HICO WV 25854

Officer/Director/Trustee Two

AMY STONESTREET
VICE PRESIDENT
18656 STANAFORD ROAD
DANESE WV 25831

Officer/Director/Trustee Three

ROBIN C SHEETS
TREASURER
22428 STANAFORD ROAD
DANESE WV 25831

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2015
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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
Signature Title
Signature Date

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