FORM 1023-EZ for BEDFORD YOUTH ATHLETIC CLUB

Field Data
EIN 81-4613945
Case Number EO-2017060-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEDFORD YOUTH ATHLETIC CLUB
Organization’s Mailing Address 2666 WEST STERNS RD
City LAMBERTVILLE
State MI
ZIP 48144
Accounting period End 12
Primary contact name BRAD HENNESSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD HENNESSEY
PRESIDENT
PO BOX 894
LAMBERTVILLE MI 48144

Officer/Director/Trustee Two

JOHN DECKER JR
TREASURER
PO BOX 894
LAMBERTVILLE MI 48144

Officer/Director/Trustee Three

RAY BASHAW
SECRETARY
PO BOX 894
LAMBERTVILLE MI 48144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2017
Organization Incorporation State MI
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 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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