FORM 1023-EZ for FARIBAULT YOUTH BASEBALL ASSOCIATION

Field Data
EIN 46-0548024
Case Number EO-2015142-000539
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FARIBAULT YOUTH BASEBALL ASSOCIATION
Organization’s Mailing Address 2219 CHASE DR
City FARIBAULT
State MN
ZIP 55021
Accounting period End 12
Primary contact name NICOLE ROACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE ROACH
PRESIDENT
2219 CHASE
FARIBAULT MN 55021

Officer/Director/Trustee Two

ANTHONY JANDRO
TRAVEL DIRECTOR
16970 AIMES TR
FARIBAULT MN 55021

Officer/Director/Trustee Three

KERI SIMON
TRESURER
1011 1ST AVE NW
FARIBAULT MN 55021

Officer/Director/Trustee Four

SCOTT HANSON
MINOR LEAGUE DIRECTOR
809 12TH ST SW
FARIBAULT MN 55021

Officer/Director/Trustee Five

TROY MURPHY
FUNDRAISER DIRECTOR
1111 KINGSWOOD CR
FARIBAULT MN 55021

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2013
Organization Incorporation State MN
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
Signature Title
Signature Date

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