FORM 1023-EZ for BENTON BLUE SOX BASEBALL INC

Field Data
EIN 82-1373838
Case Number EO-2018068-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BENTON BLUE SOX BASEBALL INC
Organization’s Mailing Address 2264 74TH ST
City BLAIRSTOWN
State IA
ZIP 52209
Accounting period End 12
Primary contact name TROY FILLENWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY FILLENWORTH
OFFICER
2264 74TH ST
BLAIRSTOWN IA 52209

Officer/Director/Trustee Two

PAT FRESE
OFFICER
3375 SOUTHRIDGE DR
AMANA IA 52203

Officer/Director/Trustee Three

DUSTIN KAESTNER
OFFICER
7381 16TH AVE
LUZERNE IA 52257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 TROY FILLENWORTH
Signature Title OFFICER
Signature Date 3/7/18

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