FORM 1023-EZ for USA NATIONAL SHUFFLEBOARD ASSOCIATION

Field Data
EIN 84-4860242
Case Number EO-2020059-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name USA NATIONAL SHUFFLEBOARD ASSOCIATION
Organization’s Mailing Address 5441 MANATEE BAY LANE
City FORT MEYERS
State FL
ZIP 33905
Accounting period End 12
Primary contact name JOHN HOUSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HOUSER
PRESIDENT
601 THIRD STREET 154
CLARKSTON WA 99403-1911

Officer/Director/Trustee Two

KATHY BRENNAN
1ST VICE PRESIDENT
29250 US HWY 19 NORTH 509
CLEARWATER FL 33761

Officer/Director/Trustee Three

BILL HOYER
2ND VICE PRESIDENT
2569 BRENTWOOD ROAD
COLUMBUS OH 43209

Officer/Director/Trustee Four

SHIRLEY EAGER
3RD VICE PRESIDENT
1118 MILLS AVENUE
MODESTO CA 95350

Officer/Director/Trustee Five

JOYCE SMITH
TREASURER
5441 MANATEE BAY LANE
FORT MEYERS FL 33905

Organization’s website USANSA.WEEBLY.COM
Organization’s email AFRUITLOOP@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N03 - Professional Societies, Associations
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 JOHN HOUSER
Signature Title PRESIDENT
Signature Date 2/26/2020

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