FORM 1023-EZ for JACKSON HOLE FOOTBALL CLUB

Field Data
EIN 45-2799431
Case Number EO-2016228-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON HOLE FOOTBALL CLUB
Organization’s Mailing Address PO BOX 621
City WILSON
State WY
ZIP 83014
Accounting period End 4
Primary contact name YARON LEVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YARON LEVY
PRESIDENT
8030 S FALL CREEK RD
WILSON WY 83014

Officer/Director/Trustee Two

DALE HOYT
VISE PRESIDENT
830 DYLAN DRIVE
JACKSON WY 83001

Officer/Director/Trustee Three

ALEXIS SMITH
SECRETARY
8030 S FALL CREEK RD
WILSON WY 83014

Officer/Director/Trustee Four

TOM BRESNEHAN
COMMITTEE CHAIR
280 S GLENWOOD
JACKSON WY 83001

Officer/Director/Trustee Five

SAM FITZ
TREASURER
2186 CORNER CREEK LANE
JACKSON WY 83001

Organization’s website WWW.JACKSONHOLEFC.COM
Organization’s email JACKSONHOLEFC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2011
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer 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 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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