FORM 1023-EZ for CSB SPORTS FOUNDATION NFP

Field Data
EIN 87-1394930
Case Number EO-2021183-000703
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CSB SPORTS FOUNDATION NFP
Organization’s Mailing Address 13918 S MICHIGAN AVE
City RIVERDALE
State IL
ZIP 60827
Accounting period End 12
Primary contact name CLAY BEARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAY BEARD
CHAIRMAN
13918 S MICHIGAN
RIVERDALE IL 60827

Officer/Director/Trustee Two

PEGGY BEARD
OFFICER
13918 S MICHIGAN AVE
RIVERALE IL 60827

Officer/Director/Trustee Three

NANCY CRIMS
OFFICER
430 E 162ND ST
SOUTH HOLLAND IL 60473

Organization’s website
Organization’s email CSBBBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CLAY BEARD
Signature Title CHAIRMAN
Signature Date 6/30/2021

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