FORM 1023-EZ for MT SHOCKERS BASEBALL

Field Data
EIN 81-1042265
Case Number EO-2016014-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MT SHOCKERS BASEBALL
Organization’s Mailing Address 1839 GRACE DRIVE
City COLUMBIA
State TN
ZIP 38401
Accounting period End 12
Primary contact name MELISSA LESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICKY TAYLOR
TEAM MANAGER
1036 THETA PIKE
COLUMBIA TN 38401

Officer/Director/Trustee Two

STAN KINCAID
ASSISTANT MANAGER
1644 LILLIAN CIR
COLUMBIA TN 38401

Officer/Director/Trustee Three

MIKE FAGAN
TEAM MANAGER
1839 GRACE DRIVE
COLUMBIA TN 38401

Officer/Director/Trustee Four

MELISSA LESTER
TREASURER
1113 DOVER DR
COLUMBIA TN 38401

Organization’s website
Organization’s email MIKELFAGANSR@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State TN
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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