FORM 1023-EZ for ANTIOCH BEARS BASEBALL CLUB

Field Data
EIN 82-5167328
Case Number EO-2018281-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTIOCH BEARS BASEBALL CLUB
Organization’s Mailing Address 1409 CHESTERBROOK COURT
City ANTIOCH
State TN
ZIP 37013
Accounting period End 6
Primary contact name ANGELA HARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA HARDY
PRESIDENT
1409 CHESTERBROOK COURT
ANTIOCH TN 37013

Officer/Director/Trustee Two

CHARLES DUMARS
VICE PRESIDENT
351 SAM RIDLEY PKWY EAST E4
SMYRNA TN 37167

Officer/Director/Trustee Three

MIKE GRIFFIN
TREASURER
604 MAPLE TIMBER COURT
ANTIOCH TN 37013

Officer/Director/Trustee Four

MICHAEL SIMPSON
SECRETARY
601 MAINSTREAM DRIVE
NASHVILLE TN 37213

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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 ANGELA HARDY
Signature Title PRESIDENT
Signature Date 10/3/18

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