FORM 1023-EZ for FORT OSAGE INDIANS YOUTH FOOTBALL

Field Data
EIN 82-2653653
Case Number EO-2017244-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT OSAGE INDIANS YOUTH FOOTBALL
Organization’s Mailing Address 19200 E 5TH ST CT N
City INDEPENDENCE
State MO
ZIP 64056
Accounting period End 12
Primary contact name JAMES BATEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN GALLMAN
PRESIDENT
19200 E 5TH ST CT N
INDEPENDENCE MO 64056

Officer/Director/Trustee Two

JAMES BATEMAN
VICE PRESIDENT
8914 NE 117TH ST
KANSAS CITY MO 64157

Officer/Director/Trustee Three

CATHERINE ODELL
TREASURE
2216 N BLUE MILLS RD
INDEPENDENCE MO 64058

Officer/Director/Trustee Four

LINDSEY GALLMAN
SECRETARY
19200 E 5TH STREET CT N
INDEPENDENCE MO 64056

Officer/Director/Trustee Five

ERIC MOORE
FOOTBALL COMMISSIONER
1205 N SIOUX
INDEPENDENCE MO 64056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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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