FORM 1023-EZ for LA GRANGE YOUTH FOOTBALL

Field Data
EIN 81-4585678
Case Number EO-2017181-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA GRANGE YOUTH FOOTBALL
Organization’s Mailing Address 1031 COUNTY ROAD 122
City LEDBETTER
State TX
ZIP 78946
Accounting period End 12
Primary contact name LA TONYA SAMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASPER SAMPSON
PRESIDENT
1031 COUTNY ROAD 122
LEDBETTER TX 78946

Officer/Director/Trustee Two

DOROTEO R RODRIGUEZ
VICE PRESIDENT
38 BLUFFVIEW PARK
LA GRANGE TX 78945

Officer/Director/Trustee Three

DARLENE COX
LEAGUE ADMINISTRATOR
511 WEST POINT NORTH LOOP
WEST POINT TX 78963

Officer/Director/Trustee Four

LA TONYA SAMPSON
TREASURER
1031 COUNTY ROAD 122
LEDBETTER TX 78946

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2016
Organization Incorporation State TX
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: 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 No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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