FORM 1023-EZ for KB YOUTH ATHLETICS INC

Field Data
EIN 82-4492489
Case Number EO-2018060-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KB YOUTH ATHLETICS INC
Organization’s Mailing Address 10101 J STREET
City OMAHA
State NE
ZIP 68127-1118
Accounting period End 12
Primary contact name TOM LANGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA REZAC
DIRECTOR
10917 WALKING CIRCLE
OMAHA NE 68144

Officer/Director/Trustee Two

TERRY BEUTLER
DIRECTOR AND PRESIDENT
4656 HICKORY STREET
OMAHA NE 68106

Officer/Director/Trustee Three

EDWARD FERHINGER
DIRECTOR AND TREASURER
2312 S 105TH STREET
OMAHA NE 68124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/17
Organization Incorporation State NE
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: Yes
Religious: No
Educational: Yes
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 DANA REZAC
Signature Title DIRECTOR
Signature Date 2/27/18

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