FORM 1023-EZ for BOUNDARY WATERS YOUTH FOOTBALL ANDCHEER ASSOCIATION

Field	Data
EIN	83-3149407
Case Number	EO-2019050-000565
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	BOUNDARY WATERS YOUTH FOOTBALL ANDCHEER ASSOCIATION
Organization’s Mailing Address	PO BOX 6312
City	DOUGLASVILLE
State	GA
ZIP	30154
Accounting period End	12
Primary contact name	KENNETH JONES
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

ANTHONY YOUNG
PRESIDENT
4127 MACDUFF DR
DOUGLASVILLE GA 30135

Officer/Director/Trustee Two

JOSHUA BRYANT
VICE PRESIDENT
9049 TIMMONS CIR
VILLA RICA GA 30180

Officer/Director/Trustee Three

KENNETH JONES
SECRETARY
6266 DOESETT SHOALS RD LOT 300
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

ONDREAH FORDJOUR
TREASURER
6266 DORSETT DHOALS RD LOT 79
DOUGLASVILLE GA 30135

Organization’s website	HTTP://CLUBS.BLUESOMBRERO.COM/BWCOYOTES
Organization’s email	SECRETARY.BWCOYOTES@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	2/1/19
Organization Incorporation State	GA
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: 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	No
Benefit of College	No
Private Foundation 508(e)	Yes
Seeking Retroactive Reinstatement	No
Seeking Section 7 Reinstatement	No
Correctness Declaration	Yes
Signature Name	KENNETH JONES
Signature Title	SECRETARY
Signature Date	2/17/19
EIN	83-3149407
Case Number	EO-2019050-000565
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	BOUNDARY WATERS YOUTH FOOTBALL AND CHEER ASSOCIATION
Organization’s Mailing Address	PO BOX 6312
City	DOUGLASVILLE
State	GA
ZIP	30154
Accounting period End	12
Primary contact name	KENNETH JONES
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00