FORM 1023-EZ for BLUEGRASS BERMS COMPOSITE TEAM

Field Data
EIN 84-4959414
Case Number EO-2021141-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUEGRASS BERMS COMPOSITE TEAM
Organization’s Mailing Address 1023 LEESTOWN RD
City FRANKFORT
State KY
ZIP 40601
Accounting period End 1
Primary contact name MARK HARRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEB GORHAM
PRESIDENT
518 MARTIN DR
VERSAILLES KY 40383

Officer/Director/Trustee Two

MARK HARRELL
VICE PRESIDENT
117 ECHO SPRINGS DR
FRANKFORT KY 40601

Officer/Director/Trustee Three

DANNY PEAKE
SECRETARY
114 LEE DR
FRANKFORT KY 40601

Officer/Director/Trustee Four

MIKE JOHNSON
TREASURER
729 WINTER HAVEN LN
FRANKFORT KY 40601

Organization’s website
Organization’s email BLUEGRASSBERMS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State KY
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: 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 MARK HARRELL
Signature Title VICE PRESIDENT
Signature Date 5/18/2021

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