FORM 1023-EZ for SAMURAI BASEBALL CLUB

Field Data
EIN 47-5579133
Case Number EO-2016102-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMURAI BASEBALL CLUB
Organization’s Mailing Address 6113 CANE SPRINGS RD
City ANTIOCH
State TN
ZIP 37013-2797
Accounting period End 12
Primary contact name SHAWN MALONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAWN MALONE
GENERAL MANAGER
6113 CANE SPRINGS RD
ANTIOCH TN 37013-2797

Officer/Director/Trustee Two

NEAL HARGROVE
ASSISTANT HEAD COACH
105 HARPETH VIEW CT
NASHVILLE TN 37221-5317

Officer/Director/Trustee Three

RICHARD PINSON
ASSISTANT COACH
1490 WILLOWBROOKE CIR
FRANKLIN TN 37096-7200

Organization’s website SAMURAIBASEBALLCLUB.ORG
Organization’s email SAMURAIBASEBALLORG@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2015
Organization Incorporation State TN
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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