FORM 1023-EZ for UTAH BLACK SOX BASEBALL CLUB

Field Data
EIN 81-3197651
Case Number EO-2016214-000511
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UTAH BLACK SOX BASEBALL CLUB
Organization’s Mailing Address 605 S 1810 W
City OREM
State UT
ZIP 84058
Accounting period End 6
Primary contact name JACOB CHRISMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB GENE CHRISMAN
DIRECTOR
605 S 1810 W
PREM UT 84058

Officer/Director/Trustee Two

HANK WILLIAM HERIFORD
DIRECTOR
1987 N 3100 W
PROVO UT 84601

Officer/Director/Trustee Three

ADAM CASEY HAWKES
DIRECTOR
611 W 600 N
OREM UT 84057

Officer/Director/Trustee Four

CLINT HUSON GORDON-CARROLL
DIRECTOR
5247 SEGO LILY COURT
HIGHLAND UT 84003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State UT
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 Yes
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 Yes
One Third Support Gifts No
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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