FORM 1023-EZ for COACH SMITH YOUTH ATHLETICS LTD

Field Data
EIN 85-3434906
Case Number EO-2021096-001332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COACH SMITH YOUTH ATHLETICS LTD
Organization’s Mailing Address 226 NORTH LINE STREET
City CHURUBUSCO
State IN
ZIP 46723
Accounting period End 12
Primary contact name JACOB SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB SMITH
CHAIRMAN
226 NORTH LINE STREET
CHURUBUSCO IN 46723

Officer/Director/Trustee Two

JEFFREY REIMER
CO-CHAIRMAN
1845 EAST BAIR ROAD
COLUMBIA CITY IN 46725

Officer/Director/Trustee Three

AMY SMITH
TREASURER
226 NORTH LINE STREET
CHURUBUSCO IN 46723

Officer/Director/Trustee Four

JOSHUA SMITH
SECRETARY
622 HURSTLAND COURT
COLUMBIA CITY IN 46725

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JACOB SMITH
Signature Title CHAIRMAN
Signature Date 3/9/2021

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