FORM 1023-EZ for TUPELO AREA PICKLEBALL

Field Data
EIN 83-1944077
Case Number EO-2019144-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TUPELO AREA PICKLEBALL
Organization’s Mailing Address 1527 COLUMBINE DR
City TUPELO
State MS
ZIP 38801
Accounting period End 12
Primary contact name MARTIN HERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN SHAFFER
PRESIDENT
1308 MICHAEL CIRCLE
TUPELO MS 38801-6111

Officer/Director/Trustee Two

JOE PETERSON
TREASURER
279 N RIDGE DRIVE
SALTILLO MS 38866-9386

Officer/Director/Trustee Three

MARTIN HERMAN
VICE PRESIDENT/SECRETARY
1527 COLUMBINE DR
TUPELO MS 38801-8470

Officer/Director/Trustee Four

BRIGIT BADT
BOARD MEMBER
1434 GUN CLUB ROAD
TUPELO MS 38801-307

Officer/Director/Trustee Five

JUSTIN DORRIS
BOARD MEMBER
104 NORTH LANE DRIVE
TUPELO MS 38801-4455

Organization’s website TUPELOAREAPICKLEBALL.COM
Organization’s email TUPELOAREAPICKLEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 MARTIN HERMAN
Signature Title VICE PRESIDENT/SECRETARY
Signature Date 5/22/19

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