FORM 1023-EZ for BOURBON YOUTH ATHLETIC ASSOCIATION

Field Data
EIN 82-5505014
Case Number EO-2018205-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOURBON YOUTH ATHLETIC ASSOCIATION
Organization’s Mailing Address 121 MAPLE LANE
City BOURBON
State MO
ZIP 65441
Accounting period End 12
Primary contact name JOE ROGERS LOUDERMAN JR VICE PRES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN BLANTON
PRESIDENT
10091 ANTHONIES MILL ROAD
BOURBON MO 65411

Officer/Director/Trustee Two

CHERYL ANDERSON
TREASURER
227 OLD SPRINGFIELD ROAD
BOURBON MO 65441

Officer/Director/Trustee Three

STEPHEN WALDRON
SECRETARY
227 ROBINS COURT
BOURBON MO 65441

Officer/Director/Trustee Four

JOE LOUDERMAN
VICE PRESIDENT
121 MAPLE LANE
BOURBON MO 65441

Organization’s website WWW.BAA-MO
Organization’s email BOURBONMOATHLETICASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JOE LOUDERMAN
Signature Title VICE PRESIDENT
Signature Date 7/20/18

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