FORM 1023-EZ for NORTHERN KENTUCKY BENGALS YOUTH SPORTS INC

Field Data
EIN 82-1338999
Case Number EO-2017152-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN KENTUCKY BENGALS YOUTH SPORTS INC
Organization’s Mailing Address 2620 RED SKY COURT
City BURLINGTON
State KY
ZIP 41005
Accounting period End 12
Primary contact name DURRAN ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DURRAN ALEXANDER
PRESIDENT
2620 RED SKY COURT
BURLINGTON KY 41005

Officer/Director/Trustee Two

TERRY VERAX
VICE PRESIDENT
2036 ARBOR SPRINGS BOULEVARD
UNION KY 41091

Officer/Director/Trustee Three

RYAN GUTTER
SECRETARY
2234 BLUEGRAMA DRIVE
BURLINGTON KY 41005

Officer/Director/Trustee Four

JODI DISSELKAMP
TREASURER
491 ROSEBUD CIRCLE
WALTON KY 41094

Officer/Director/Trustee Five

JEREMI JOHNSON
VP OPERATIONS
2215 BOURBON STREET
UNION KY 41091

Organization’s website NKYBENGALS.ORG
Organization’s email NKBYSCOMMUNITYMAIL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2017
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 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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