FORM 1023-EZ for KEMPER COUNTY YOUTH FOOTBALL LEAGUE

Field Data
EIN 27-3358490
Case Number EO-2016279-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEMPER COUNTY YOUTH FOOTBALL LEAGUE
Organization’s Mailing Address 4414 BINNSVILLE RD
City SCOOBA
State MS
ZIP 39358
Accounting period End 12
Primary contact name LEROY DOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEROY DOSS
PRESIDENT
4414 BINNSVILLE RD
SCOOBA MS 39358

Officer/Director/Trustee Two

AIMEE COLE
VICE PRESIDENT
1421 WARRENTOWN RD
DEKALB MS 39328

Officer/Director/Trustee Three

AMANDA WILLIAMS
TREASURER
47 SCOTT LANE
DEKALB MS 39328

Officer/Director/Trustee Four

KERANEISHA GREEN
CO TREASURER
811 DEPOT HILL
DEKALB MS 39328

Officer/Director/Trustee Five

PAMELA LITTLE
SECRETARY
PO BOX 410
DEKALB MS 39358

Organization’s website
Organization’s email KEMPERCOUNTYYOUTHFOOTBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2016
Organization Incorporation State MS
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: No
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 Yes
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
Signature Title
Signature Date

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