FORM 1023-EZ for HARRISON YOUTH FOOTBALL

Field Data
EIN 45-2531028
Case Number EO-2016063-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARRISON YOUTH FOOTBALL
Organization’s Mailing Address 700 SOUTH 5TH STREET
City HARRISON
State MI
ZIP 48625
Accounting period End 12
Primary contact name STACY CARLSTROM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRADLEY CARLSTROM
PRESIDENT
1554 EAST STOCKWELL ROAD
HARRISON MI 48625

Officer/Director/Trustee Two

MARION LATUNSKI
VICE-PRESIDENT
1885 SOUTH HARRISON AVE
HARRISON MI 48625

Officer/Director/Trustee Three

SARAH RUST
TREASURER
3176 LAPHAM DRIVE
HARRISON MI 48625

Officer/Director/Trustee Four

STACY CARLSTROM
SECRETARY
1554 EAST STOCKWELL ROAD
HARRISON MI 48625

Officer/Director/Trustee Five

JUDY POMERVILLE
FUNDRAISING COORDINATOR
6233 NORTH OLD STREET
HARRISON MI 48625

Organization’s website
Organization’s email HARRISONYOUTHFOOTBALL@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2015
Organization Incorporation State MI
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 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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