FORM 1023-EZ for ROLAND-STORY LIL NORSEMEN YOUTH FOOTBALL ORGANIZATION

Field Data
EIN 84-3725036
Case Number EO-2021109-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROLAND-STORY LIL NORSEMEN YOUTH FOOTBALL ORGANIZATION
Organization’s Mailing Address 418 S MAIN STREET
City ROLAND
State IA
ZIP 50236-1037
Accounting period End 12
Primary contact name DESIREE FISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESIREE FISHER
PRESIDENT
418 S MAIN STREET
ROLAND IA 50236-1037

Officer/Director/Trustee Two

JESSICA GEORGIUS
VICE PRESIDENT
713 ELM STREET
STORY CITY IA 50248-1307

Officer/Director/Trustee Three

HEATHER OSMUNDSON
SECRETARY
714 ELM STREET
STORY CITY IA 50248-1308

Officer/Director/Trustee Four

EMILY OTTO-TICE
TREASURER
52515 140TH STREET
STORY CITY IA 50248-8670

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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 EMILY OTTO-TICE
Signature Title TREASURER
Signature Date 4/14/2021

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