FORM 1023-EZ for SOUTH LAUREL SOFTBALL BOOSTER CLUB

Field Data
EIN 47-1339423
Case Number EO-2018068-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH LAUREL SOFTBALL BOOSTER CLUB
Organization’s Mailing Address 1301 W 5TH STREET
City LONDON
State KY
ZIP 40741
Accounting period End 12
Primary contact name MADGEL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH JERVIS
PRESIDENT
691 REED VALLEY ROAD
LONDON KY 40744

Officer/Director/Trustee Two

LES DIXON
SECRETARY
1301 W 5TH STREET
LONDON KY 40741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/14
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEITH JERVIS
Signature Title PRESIDENT
Signature Date 3/7/18

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