FORM 1023-EZ for SHERIDAN SOFTBALL ASSOCIATION

Field Data
EIN 81-1005383
Case Number EO-2016055-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHERIDAN SOFTBALL ASSOCIATION
Organization’s Mailing Address 598 BIG GOOSE ROAD
City SHERIDAN
State WY
ZIP 82801
Accounting period End 12
Primary contact name DANIEL JOHLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEREK GILBERT
PRESIDENT
495 KINGFISHER AVENUE
SHERIDAN WY 82801

Officer/Director/Trustee Two

JUSTIN CHASE
VICE-PRESIDENT
1036 AVON STREET
SHERIDAN WY 82801

Officer/Director/Trustee Three

TAMMY SWITZENBERG
TREASURER
60 SWAIM ROAD
SHERIDAN WY 82801

Officer/Director/Trustee Four

DANIEL JOHLMAN
SECRETARY
598 BIG GOOSE ROAD
SHERIDAN WY 82801

Officer/Director/Trustee Five

R BRENT GODWIN
BOARD MEMBER AT LARGE
1506 WARREN AVENUE
SHERIDAN WY 82801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2015
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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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