FORM 1023-EZ for MONGOOSE YOUTH SPORTS

Field Data
EIN 84-2050291
Case Number EO-2019266-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONGOOSE YOUTH SPORTS
Organization’s Mailing Address 790 PAGODA COURT
City ERIE
State CO
ZIP 80516
Accounting period End 12
Primary contact name CRAIG WHITLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG WHITLOCK
PRESIDENT/TRES/DIRECTOR
790 PAGODA COURT
ERIE CO 80516

Officer/Director/Trustee Two

JAMES SIMMONS
SECRETARY/DIRECTOR
14583 VINE STREET
THORNTON CO 80602

Organization’s website MONGOOSEYOUTHSPORTS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
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 CRAIG WHITLOCK
Signature Title PRESIDENT/TRES/DIRECTOR
Signature Date 9/19/19

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