FORM 1023-EZ for BLACKWATER BALL ASSOCIATION

Field Data
EIN 68-0627194
Case Number EO-2019186-000048
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKWATER BALL ASSOCIATION
Organization’s Mailing Address 311 MAIN ST
City BLACKWATER
State MO
ZIP 65322
Accounting period End 12
Primary contact name JACQUILIN FENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA BLANK
PRESIDENT
2998 CRAMER HOLLOW RD
BLACKWATER MO 65322

Officer/Director/Trustee Two

JACQUILIN FENTON
TREASURER
311 MAIN ST
BLACKWATER MO 65322

Officer/Director/Trustee Three

TANNER FAHRENDORF
VICE PRESIDENT
404 COUNTY AVE
BLACKWATER MO 65322

Officer/Director/Trustee Four

KARLA PATTON
SECRETARY
17910 HWY 41
BOONVILLE MO 65233

Officer/Director/Trustee Five

TROY BLANK
MEMBER
2998 CRAMER HOLLOW RD
BLACKWATER MO 65322

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/06
Organization Incorporation State MO
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: 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 JACQUILIN FENTON
Signature Title TREASURER
Signature Date 7/2/19

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