FORM 1023-EZ for BELOIT YOUTH FOOTBALL INC

Field Data
EIN 82-5447909
Case Number EO-2018142-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELOIT YOUTH FOOTBALL INC
Organization’s Mailing Address 1674 KANSAS 14 HWY PO BOX 423
City BELOIT
State KS
ZIP 67420-423
Accounting period End 12
Primary contact name JASON L CHANCELLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON CHANCELLOR
PRESIDENT
718 W 5TH ST
BELOIT KS 67420-2045

Officer/Director/Trustee Two

JARED SCHMIDT
VICE-PRESIDENT TREASURER
1502 N HERSEY AVE
BELOIT KS 67420-1318

Officer/Director/Trustee Three

JUSTIN REXROAT
SECRETARY
229 E 20TH ST
BELOIT KS 67420-1203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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 JASON CHANCELLOR
Signature Title PRESIDENT
Signature Date 5/18/18

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