FORM 1023-EZ for REHOBETH BASS TEAM

Field Data
EIN 82-4446117
Case Number EO-2018057-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REHOBETH BASS TEAM
Organization’s Mailing Address 627 PAULK ROAD
City DOTHAN
State AL
ZIP 36301
Accounting period End 12
Primary contact name JOHN SKIPPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE QUATTLEBAUM
BOARD MEMBER
460 LITTLEFIELD ROAD
DOTHAN AL 36301

Officer/Director/Trustee Two

MATTHEW OWENS
BOARD MEMBER
165 BEDWELL LANE
DOTHAN AL 36301

Officer/Director/Trustee Three

JOHNNY F SKIPPER
BOARD MEMBER
285 SKIPPER ROAD
SLOCOMB AL 36375

Officer/Director/Trustee Four

JODY WARD
BOARD MEMBER
336 COUNTYLINE ROAD
DOTHAN AL 36305

Officer/Director/Trustee Five

JOHN SKIPPER
BOARD MEMBER
627 PAULK ROAD
DOTHAN AL 36301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
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 SKIPPER
Signature Title BOARD MEMBER
Signature Date 2/23/18

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