FORM 1023-EZ for NORTHWEST JUNIOR FOOTBALL

Field Data
EIN 37-1837174
Case Number EO-2016302-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST JUNIOR FOOTBALL
Organization’s Mailing Address 3637 S LAKESHORE DR
City BYRNES MILL
State MO
ZIP 63051
Accounting period End 12
Primary contact name BRITTANY FORTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW LENZEN
OFFICER
3637 S LAKESHORE DR
BYRNES MILL MO 63051

Officer/Director/Trustee Two

CHARLES DAVIS
OFFICER
6127 BARRINGTON OAKS DR
CEDAR HILL MO 63016

Officer/Director/Trustee Three

NICHOLAS HOTH
OFFICER
3809 OLDE MILL DR
BYRNES MILL MO 63051

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2016
Organization Incorporation State MO
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 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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