FORM 1023-EZ for BALLARD BULLETS ATHLETICS INC

Field Data
EIN 81-5482004
Case Number EO-2017114-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALLARD BULLETS ATHLETICS INC
Organization’s Mailing Address 113 E FIRST ST P O BOX 457
City LA CENTER
State KY
ZIP 42056
Accounting period End 12
Primary contact name MARK S MEDLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK MEDLIN
REGISTERED AGENT
113 EAST FIRST STREET
LA CENTER KY 42056

Officer/Director/Trustee Two

BRANDON BIRNEY
PRESIDENT
4488 LA CENTER RD
LA CENTER KY 42056

Officer/Director/Trustee Three

AMBER HAYES
TREASURER
774 BLANKS RD
WICKLIFFE KY 42087

Officer/Director/Trustee Four

JUSTIN PUCKETT
VICE PRESIDENT
691 OSCAR RD
BARLOW KY 42024

Officer/Director/Trustee Five

BRAD ENFINGER
SECRETARY
119 MAYNOR RD
LA CENTER KY 42056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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