FORM 1023-EZ for ADRENALINE BASEBALL

Field Data
EIN 87-1883875
Case Number EO-2021214-000606
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADRENALINE BASEBALL
Organization’s Mailing Address 36 MOUNTAIN TRAIL
City CONWAY
State AR
ZIP 72034
Accounting period End 12
Primary contact name JAY HOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS SIMPSON
PRESIDENT
36 MOUNTAIN TRAIL
CONWAY AR 72034

Officer/Director/Trustee Two

KIRK MCCONNELL
VICE-PRESIDENT
36 MOUNTAIN TRAIL
CONWAY AR 72034

Officer/Director/Trustee Three

JEFF VAN ES
SECRETARY
36 MOUNTAIN TRAIL
CONWAY AR 72034

Officer/Director/Trustee Four

JAY HOWELL
TREASURER
36 MOUNTAIN TRAIL
CONWAY AR 72034

Officer/Director/Trustee Five

ROBERT WRIGHT
MEMBER
36 MOUNTAIN TRAIL
CONWAY AR 72034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2021
Organization Incorporation State AR
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: 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 CARLOS SIMPSON
Signature Title PRESIDENT
Signature Date 7/30/2021

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