FORM 1023-EZ for BUSHNELL WEST PRAIRIE BWP YOUTH FOOTBALL NFP

Field Data
EIN 47-5018376
Case Number EO-2015293-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUSHNELL WEST PRAIRIE BWP YOUTH FOOTBALL NFP
Organization’s Mailing Address 25309 NORTH COUNTRY HIGHWAY 15
City AVON
State IL
ZIP 61415
Accounting period End 12
Primary contact name JASON SINNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON SINNETT
DIRECTOR
25309 NORTH COUNTY HIGHWAY 15
AVON IL 61415

Officer/Director/Trustee Two

FREDERICK SINNETT
DIRECTOR
605 EAST WASHINGTON
BLANDINSVILLE IL 61420

Officer/Director/Trustee Three

WESLEY STRODE
DIRECTOR
24480 NORTH COUNTY HIGHWAY 15
MARIETTA IL 61459

Officer/Director/Trustee Four

TRENT BARKLEY
DIRECTOR
9030 STATE HIGHWAY 9
SCIOTA IL 61475

Officer/Director/Trustee Five

JEREMY RUSSELL
DIRECTOR
19785 EAST 900TH STREET
SCIOTA IL 61475

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2015
Organization Incorporation State IL
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: 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 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
Signature Title
Signature Date

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