FORM 1023-EZ for FLINT JACKSON PARK YOUTH LEAGUE

Field Data
EIN 82-1406972
Case Number EO-2017139-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLINT JACKSON PARK YOUTH LEAGUE
Organization’s Mailing Address 405 TRUXTON LANE
City LANSING
State MI
ZIP 48911
Accounting period End 6
Primary contact name WILLIE SHANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE SHANNON
TREASURER
4055 TRUXTON LANE
LANSING MI 48911

Officer/Director/Trustee Two

RONNIE RUSSELL
PRESIDENT
6150 EAST KNOLL COURT
GRAND BLANC MI 48439

Officer/Director/Trustee Three

WILLIE ANTHONY
VICE PRESIDENT
12264 ADAMS ST
MORRIS MI 48911

Officer/Director/Trustee Four

KERMIT REAVES
SECRETARY
1286 WAGON WHEEL LANE
GRAND BLANC MI 49439

Officer/Director/Trustee Five

SHARESE SHANNON MATHIS
BOARD MEMBER
724 ALEXANDER DR
ADRIAN MI 49221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2017
Organization Incorporation State MI
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: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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
Signature Title
Signature Date

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