FORM 1023-EZ for TIMBERLAKE JUNIOR TACKLE FOOTBALL INC

Field Data
EIN 83-0936926
Case Number EO-2018197-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIMBERLAKE JUNIOR TACKLE FOOTBALL INC
Organization’s Mailing Address 8515 W COEUR DALENE DRIVE
City SPIRIT LAKE
State ID
ZIP 83869
Accounting period End 12
Primary contact name RYAN PASLAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN PASLAY
DIRECTOR/PRESIDENT
8515 W COEUR DALENE DRIVE
SPIRIT LAKE ID 83869

Officer/Director/Trustee Two

JIM PEIGHTAL
DIRECTOR/TREASURER
PO BOX 760
RATHDRUM ID 83858

Officer/Director/Trustee Three

STEPHANIE HUSTON
DIRECTOR/SECRETARY
PO BOX 262
ATHOL ID 83801

Organization’s website WWW.TIMBERLAKEJRTACKLE.COM
Organization’s email COACH@TIMBERLAKEJRTACKLE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State ID
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 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 RYAN PASLAY
Signature Title DIRECTOR/TREASURER
Signature Date 7/13/18

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