FORM 1023-EZ for VAN BASEBALL SOFTBALL ASSOCIATION

Field Data
EIN 47-5439536
Case Number EO-2016055-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VAN BASEBALL SOFTBALL ASSOCIATION
Organization’s Mailing Address P O BOX 722
City VAN
State TX
ZIP 75790
Accounting period End 12
Primary contact name TRAVIS POTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEREMY HOUSDEN
PRESIDENT
168 VZ CR 4519
VAN TX 75790

Officer/Director/Trustee Two

JONATHAN COSTNER
VICE PRESIDENT
841 N WALNUT
VAN TX 75790

Officer/Director/Trustee Three

JESSE DEVISSCHER
SECRETARY
499 W OHIO ST
VAN TX 75790

Officer/Director/Trustee Four

TRAVIS POTTER
TREASURER
PO BOX 722
VAN TX 75790

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2015
Organization Incorporation State TX
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 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
Signature Title
Signature Date

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