FORM 1023-EZ for 119 SOUTH FASTPITCH

Field Data
EIN 82-2170796
Case Number EO-2019134-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 119 SOUTH FASTPITCH
Organization’s Mailing Address PO BOX 339
City OMAR
State WV
ZIP 25638
Accounting period End 12
Primary contact name CHAD LUSK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG ADKINS
PRESIDENT
904 JERRY WEST HWY
OMAR WV 25638

Officer/Director/Trustee Two

CHADWICK LUSK
VICE PRESIDENT
18 BAILEY DRIVE
DAVIN WV 25617

Organization’s website
Organization’s email 119SOUTH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/17
Organization Incorporation State WV
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: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 CHADWICK LUSK
Signature Title VICE PRESIDENT
Signature Date 5/12/19

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