FORM 1023-EZ for BROCK ATTACK YOUTH BASEBALL LEAGUEINC

Field Data
EIN 82-5018905
Case Number EO-2018263-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROCK ATTACK YOUTH BASEBALL LEAGUEINC
Organization’s Mailing Address 1947 S OLD STATE ROAD 15
City WARSAW
State IN
ZIP 46580
Accounting period End 12
Primary contact name LAURIE PAULIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY BROCK
PRESIDENT
1947 SOUTH OLD SR 15
WARSAW IN 46580

Officer/Director/Trustee Two

SAM KIM
VICE PRESIDENT
1838 E BOULDER DR
WARSAW IN 46582

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
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 JEREMY BROCK
Signature Title PRESIDENT
Signature Date 9/18/18
EIN 82-5018905
Case Number EO-2018263-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROCK ATTACK YOUTH BASEBALL LEAGUE INC
Organization’s Mailing Address 1947 S OLD STATE ROAD 15
City WARSAW
State IN
ZIP 46580
Accounting period End 12
Primary contact name LAURIE PAULIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY BROCK
PRESIDENT
1947 SOUTH OLD SR 15
WARSAW IN 46580

Officer/Director/Trustee Two

SAM KIM
VICE PRESIDENT
1838 E BOULDER DR
WARSAW IN 46582

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
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 JEREMY BROCK
Signature Title PRESIDENT
Signature Date 9/18/18

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