FORM 1023-EZ for ETX BLUE OCTANE BASEBALL CLUB

Field Data
EIN 82-2352045
Case Number EO-2018192-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETX BLUE OCTANE BASEBALL CLUB
Organization’s Mailing Address 10305 PLEASANT HOLLOW RD
City TYLER
State TX
ZIP 75709-3910
Accounting period End 8
Primary contact name JENNIFER DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERMAINE DAVIS
PRESIDENT, DIRECTOR
10305 PLEASANT HOLLOW RD
TYLER TX 75709-3910

Officer/Director/Trustee Two

JENNIFER DAVIS
VICE PRESIDENT, TREASURER
10305 PLEASANT HOLLOW RD
TYLER TX 75709-3910

Officer/Director/Trustee Three

MICHAEL FRANKS
REPRESENTATIVE
10220 ROLLING PINES
TYLER TX 75707-3656

Officer/Director/Trustee Four

JAMIL RIAZ
REPRESENTATIVE
11536 CR 1259
FLINT TX 75762-7011

Organization’s website WWW.LEAGUELINEUP.COM/ETXBLUEOCTANE
Organization’s email ETXBLUEOCTANE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/17
Organization Incorporation State TX
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER DAVIS
Signature Title VICE PRESIDENT, TREASURER
Signature Date 7/9/18

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