FORM 1023-EZ for CENTURY BOYS HOCKEY INC

Field Data
EIN 47-2033467
Case Number EO-2015266-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTURY BOYS HOCKEY INC
Organization’s Mailing Address 7328 BROOK LOOP
City BISMARCK
State ND
ZIP 58503
Accounting period End 3
Primary contact name NICOLE LEININGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE LEININGER
PRESIDENT/SECRETARY
7328 BROOK LOOP
BISMARCK ND 58503

Officer/Director/Trustee Two

RUSS SMITH
VICE PRESIDENT
4043 OVERLAND DRIVE
BISMARCK ND 58503

Officer/Director/Trustee Three

ANN STEWART
TREASURER
1276 EAGLE CREST LOOP
BISMARCK ND 58503

Officer/Director/Trustee Four

TROY SIGETTE
DIRECTOR
1525 110TH AVE NE
BISMARCK ND 58502

Officer/Director/Trustee Five

ANNETE ERICKSON
DIRECTOR
7916 RIDGELAND DR
BISMARCK ND 58502

Organization’s website N/A
Organization’s email CENTURYPATRIOTSHOCKEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 Yes
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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