FORM 1023-EZ for BENTON BLUE SOX YOUTH BASEBALL

Field Data
EIN 83-2478035
Case Number EO-2019063-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BENTON BLUE SOX YOUTH BASEBALL
Organization’s Mailing Address 7131 33RD AVENUE
City ATKINS
State IA
ZIP 52206
Accounting period End 11
Primary contact name TRACEY BRUNSSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOB RINDERKNECHT
PRESIDENT
627 DEER RIDGE DRIVE
ATKINS IA 52206

Officer/Director/Trustee Two

BRENT BRUNSSEN
VICE PRESIDENT
7131 33RD AVENUE
ATKINS IA 52206

Officer/Director/Trustee Three

TRACEY BRUNSSEN
TREASURER
7131 33RD AVENUE
ATKINS IA 52206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/18
Organization Incorporation State IA
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 TRACEY BRUNSSEN
Signature Title TREASURER
Signature Date 2/28/19

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