FORM 1023-EZ for DAWG BASEBALL

Field Data
EIN 47-2373007
Case Number EO-2015016-000024
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAWG BASEBALL
Organization’s Mailing Address 1706 E SYCAMORE AVENUE
City NORFOLK
State NE
ZIP 68701-0842
Accounting period End 12
Primary contact name JARED FALTYS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOM DEMOSS
PRESIDENT
205 BEVERLY ROAD
NORFOLK NE 68701-1578

Officer/Director/Trustee Two

ANDY MOHR
VICE PRESIDENT/TREASURER
1706 E SYCAMORE AVENUE
NORFOLK NE 68701-0842

Officer/Director/Trustee Three

JAY FLEECS
SECRETARY
3006 GOLF VIEW DRIVE
NORFOLK NE 68701-3382

Officer/Director/Trustee Four

JOHN KNAPP
BOARD MEMBER
1619 W BERRY HILL DRIVE
NORFOLK NE 68701-3327

Officer/Director/Trustee Five

BILL FISHER
BOARD MEMBER
3701 W BENJAMIN AVENUE
NORFOLK NE 68701-3143

Organization’s website HTTP://WWW.NORFOLKDIAMONDDAWGS.COM/
Organization’s email NORFOLKDIAMONDDAWGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2014
Organization Incorporation State NE
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: Yes
Educational: Yes
Scientific: Yes
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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