FORM 1023-EZ for KEARNEY YOUTH FOOTBALL

Field Data
EIN 82-1236357
Case Number EO-2017129-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEARNEY YOUTH FOOTBALL
Organization’s Mailing Address PO BOX 1036
City KEARNEY
State MO
ZIP 64060
Accounting period End 12
Primary contact name THOMAS JARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JARRETT
PRESIDENT
2302 SUMMIT TRAIL
KEARNEY MO 64060

Officer/Director/Trustee Two

SCOTT MURPHY
VICE -PRESIDENT
410 WEST 10TH STREET
KEARNEY MO 64060

Officer/Director/Trustee Three

ADAM FERRALL
TREASURE
12314 N STARK
LIBERTY MO 64068

Officer/Director/Trustee Four

KARA SHAW
SECRETARY
1809 REGENCY
KEARNEY MO 64060

Officer/Director/Trustee Five

RYAN DOLL
EQUIPMENT MANAGER
1305 BRETT CIRCLE DR
KEARNEY MO 64060

Organization’s website WWW.KEARNEYFOOTBALL.COM
Organization’s email KSHAWKYF@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2001
Organization Incorporation State MO
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: No
Religious: No
Educational: No
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 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
Signature Title
Signature Date

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