FORM 1023-EZ for 870 CORNHOLE NATION

Field Data
EIN 84-3048246
Case Number EO-2019280-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 870 CORNHOLE NATION
Organization’s Mailing Address 309 N 11TH AVE
City PARAGOULD
State AR
ZIP 72450
Accounting period End 12
Primary contact name WHITNEY GARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WHITNEY GARNER
PRESIDENT AND TREASURER
309 N 11TH AVE
PARAGOLD AR 72450

Officer/Director/Trustee Two

CHARLENE MITCHELL
VICE-PRESIDENT
308 N 11TH AVE
PARAGOULD AR 72450

Organization’s website NA
Organization’s email 870CORNHOLENATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WHITNEY GARNER
Signature Title PRESIDENT AND TREASURER
Signature Date 10/3/19

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