FORM 1023-EZ for OTTUMWA TITANS BLACK

Field Data
EIN 86-1475651
Case Number EO-2021064-002282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTTUMWA TITANS BLACK
Organization’s Mailing Address 122 MINNESOTA ST
City OTTUMWA
State IA
ZIP 52501
Accounting period End 12
Primary contact name DOUG MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUG MITCHELL
PRESIDENT
122 MINNESOTA
OTTUMWA IA 52501

Officer/Director/Trustee Two

JOE TULLIS
VICE PRESIDENT
1209 HAMILTON
OTTUMWA IA 52501

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State IA
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: 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 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 DOUG MITCHELL
Signature Title PRESIDENT
Signature Date 1/14/2021

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