FORM 1023-EZ for TEAM LUMBERJACK DISC GOLF

Field Data
EIN 46-4735412
Case Number EO-2015125-000093
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM LUMBERJACK DISC GOLF
Organization’s Mailing Address 1810 AVENUE B
City BILLINGS
State MT
ZIP 59102
Accounting period End 12
Primary contact name JEREMIAH ALLAN HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEREMIAH HARRIS
PRESIDENT
1810 AVENUE B
BILLINGS MT 59102

Officer/Director/Trustee Two

WAYNE PREMO
VICE-PRESIDENT
33 W WILLAMETTE AVE
COLORADO SPRINGS CO 80903

Officer/Director/Trustee Three

JEREMIAH COLEMAN
TREASURER/SECRETARY
142 1/2 BROADWATER AVE
BILLINGS MT 59101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2014
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
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 Yes
One Third Support Gifts No
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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