FORM 1023-EZ for BURNSIDE LITTLE LEAGUE INCORPORATED

Field Data
EIN 61-1168862
Case Number EO-2019064-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURNSIDE LITTLE LEAGUE INCORPORATED
Organization’s Mailing Address PO BOX 622
City BRONSTON
State KY
ZIP 42518
Accounting period End 8
Primary contact name SHANE BRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE BRAY
TREASURER
395 HAPPY CIRCLE
SOMERSET KY 42501

Officer/Director/Trustee Two

DAVID STALEY
VICE PRESIDENT
541 HWY 790
BRONSTON KY 42518

Officer/Director/Trustee Three

SHEENA KENNEDY
SECRETARY
147 WOODLAND GROVE ROAD
BURNSIDE KY 42518

Officer/Director/Trustee Four

SHANE BRAY
PRESIDENT
56 SCARLETTS WAY
BRONSTON KY 42518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/89
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
Correctness Declaration Yes
Signature Name SHANE BRAY
Signature Title PRESIDENT
Signature Date 3/1/19

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