FORM 1023-EZ for QUINCY YOUTH BASEBALL

Field Data
EIN 80-0013917
Case Number EO-2015159-000444
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUINCY YOUTH BASEBALL
Organization’s Mailing Address 405 SOUTH CENTRAL AVENUE
City QUINCY
State WA
ZIP 98848
Accounting period End 12
Primary contact name DUSTIN CORNWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BART YEATES
PRESIDENT
15349 MARTIN RD NW
QUINCY WA 98848

Officer/Director/Trustee Two

MICHAEL NICHOLSON
VICE PRESIDENT
102 H ST NE
QUINCY WA 98848

Officer/Director/Trustee Three

SAM KRAUCHIED
POLICY PROCEDURES
16287 RD 2 NW
QUINCY WA 98848

Officer/Director/Trustee Four

TAREN ROSENBERGER
PLAYER PERSONEL
20971 RD 11 NW
QUINCY WA 98848

Officer/Director/Trustee Five

RYAN ANDERSON
FIELD MAINTENANCE
9123 RD O NW
QUINCY WA 98848

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2002
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 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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