FORM 1023-EZ for HYS HAYWOOD SPORTS INC

Field Data
EIN 86-3238530
Case Number EO-2021106-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HYS HAYWOOD SPORTS INC
Organization’s Mailing Address 282 SUMMERHILL DRIVE
City BROWNSVILLE
State TN
ZIP 38012
Accounting period End 6
Primary contact name DONEZ RICHMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONEZ RICHMOND
CHAIRMAN
282 SUMMERHILL DRIVE
BROWNSVILLE TN 38012

Officer/Director/Trustee Two

ALFRED PERKINS
BOARD MEMBER
118 E SUNSET CIRCLE
BROWNSVILLE TN 38012

Officer/Director/Trustee Three

BENJAMIN POLK
BOARD MEMBER
439 W UNIVERSITY PKWY
JACKSON TN 38305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DONEZ RICHMOND
Signature Title CHAIRMAN
Signature Date 4/14/2021

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