FORM 1023-EZ for DERBY CITY YOUTH FOOTBALL AND CHEER

Field Data
EIN 82-1098578
Case Number EO-2018157-000007
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DERBY CITY YOUTH FOOTBALL AND CHEER
Organization’s Mailing Address 138 WHITE BLOSSOM DR
City SHEPHERDSVILLE
State KY
ZIP 40165
Accounting period End 12
Primary contact name JOSH HAGGARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYANT PIRTLE
PRESIDENT
10615 HILLCROSS CT
LOUISVILLE KY 40229

Officer/Director/Trustee Two

JOSH HAGGARD
VICE-PRESIDENT
138 WHITE BLOSSOM DR
SHEPHERDSVILLE KY 40165

Officer/Director/Trustee Three

BRENDA PIRTLE
TREASURER
10615 HILLCROSS CT
LOUISVILLE KY 40229

Officer/Director/Trustee Four

MARY HAGGARD
SECRETARY
138 WHITE BLOSSOM DR
SHEPHERDSVILLE KY 40165

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/17
Organization Incorporation State KY
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: Yes
Religious: No
Educational: Yes
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 JOSH HAGGARD
Signature Title VICE-PRESIDENT
Signature Date 6/2/18

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