FORM 1023-EZ for BLYTHE LITTLE LEAGUE INC

Field Data
EIN 33-0159432
Case Number EO-2017026-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLYTHE LITTLE LEAGUE INC
Organization’s Mailing Address PO BOX 1155
City BLYTHE
State CA
ZIP 92225
Accounting period End 12
Primary contact name RACHEL CHAVEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY LOVE
PRESIDENT
821 AURORA WAY
BLYTHE CA 92225

Officer/Director/Trustee Two

DOUG DISTEFANO
VICE PRESIDENT
1312 LEWIS RD
BLYLTHE CA 92225

Officer/Director/Trustee Three

MICHELLE PENLEY
SECRETARY
251 MARIPOSA TRL
BLYTHE CA 92225

Officer/Director/Trustee Four

RACHEL CHAVEZ
TREASURER
201 SHADED PALM
BLYTHE CA 92225

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/1964
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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