FORM 1023-EZ for TETON FOOTBALL CLUB INC

Field Data
EIN 81-3497516
Case Number EO-2017041-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TETON FOOTBALL CLUB INC
Organization’s Mailing Address 189 N MAIN STREET STE 206
City DRIGGS
State ID
ZIP 83422
Accounting period End 12
Primary contact name KELLY CHIRCOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN DYER
PRESIDENT
5035 HENDERSON CANYON RD
VICTOR ID 83455

Officer/Director/Trustee Two

ETTA ROKES
TREASURER
51 W ROCKY ROAD
DRIGGS ID 83422

Officer/Director/Trustee Three

CARIANNE JACOBSEN
SECRETARY
665 APPALOOSA TRAIL
DRIGGS ID 83422

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer 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 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
Signature Title
Signature Date

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