FORM 1023-EZ for PIKE COUNTY YOUTH SPORTS INC

Field Data
EIN 82-0667982
Case Number EO-2017097-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIKE COUNTY YOUTH SPORTS INC
Organization’s Mailing Address 1212 EAST SPRUCE STREET
City PETERSBURG
State IN
ZIP 47567
Accounting period End 12
Primary contact name ANTHONY MCHARGUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY MCHARGUE
PRESIDENT
1212 EAST SPRUCE STREET
PETERSBURG IN 47567

Officer/Director/Trustee Two

RYNE BIESTERVELD
SECRETARY/TREASURER
521 EAST HODGES STREET
PETERSBURG IN 47567

Officer/Director/Trustee Three

MATT ROBINETTE
VICE PRESIDENT
1214 EAST SPRUCE STREET
PETERSBURG IN 47567

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/1995
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football 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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