FORM 1023-EZ for WEST END INTRUDERS

Field Data
EIN 85-3624609
Case Number EO-2021221-000598
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST END INTRUDERS
Organization’s Mailing Address 109 BUCKLIN ST
City PROVIDENCE
State RI
ZIP 02907
Accounting period End 12
Primary contact name JEROME HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE ISOM
PRESIDENT
109 BUCKLIN ST
PROVIDENCE RI 02907

Officer/Director/Trustee Two

MELISSA STEPHENS
VICE PRESIDENT
109 BUCKLIN ST
PROVIDENCE RI 02907

Officer/Director/Trustee Three

JEROME HAYES
TREASURER
109 BUCKLIN ST
PROVIDENCE RI 02907

Organization’s website
Organization’s email WESTELMWOODINTRUDERS00@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2020
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JEROME HAYES
Signature Title TREASURER
Signature Date 8/6/2021

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