FORM 1023-EZ for QUAD CITY FIREBIRDS GIRLS SOFTBALLASSOCIATION

Field Data
EIN 86-1486442
Case Number EO-2021095-000735
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUAD CITY FIREBIRDS GIRLS SOFTBALLASSOCIATION
Organization’s Mailing Address 4576 VALLEY BROOK DR
City BETTENDORF
State IA
ZIP 52722
Accounting period End 7
Primary contact name BRIGHAM SHAMRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATH PACHA
PRESIDENT
16520 305TH STREET
LONG GROVE IA 52722

Officer/Director/Trustee Two

MICHAEL DELOOSE
VICE PRESIDENT
3503 56TH STREET PLACE
MOLINE IL 61265

Officer/Director/Trustee Three

BRIGHAM SHAMRELL
TREASURER
4576 VALLEY BROOK DRIVE
BETTENDORF IA 52722

Officer/Director/Trustee Four

BETH THOMPSON
SECRETARY
709 COX COURT
LE CLAIRE IA 52753

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 BRIGHAM SHAMRELL
Signature Title TREASURER
Signature Date 3/4/2021

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