FORM 1023-EZ for JACKSON COUNTY HOTSHOTS

Field Data
EIN 84-2060170
Case Number EO-2019182-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON COUNTY HOTSHOTS
Organization’s Mailing Address 109 FAY ST
City EDNA
State TX
ZIP 77957
Accounting period End 7
Primary contact name CIPRIANO PALACIOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CIPRIANO PALACIOS
DIRECTOR
109 FAY ST
EDNA TX 77957

Officer/Director/Trustee Two

MIKE YAWS
MANAGER
PO BOX 115
EDNA TX 77957

Officer/Director/Trustee Three

ANNA YAWS
BOOKKEEPER
PO BOX 115
EDNA TX 77957

Officer/Director/Trustee Four

ROBIN PALACIOS
SECRETARY
109 FAY ST
EDNA TX 77957

Organization’s website
Organization’s email CPALACIOS10@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CIPRIANO PALACIOS
Signature Title DIRECTOR
Signature Date 6/26/19

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