FORM 1023-EZ for UNION GROVE LION YOUTH SPORTS ASSOCIATION

Field Data
EIN 85-3988497
Case Number EO-2021025-000001
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNION GROVE LION YOUTH SPORTS ASSOCIATION
Organization’s Mailing Address PO BOX 585
City GLADEWATER
State TX
ZIP 75647-2302
Accounting period End 4
Primary contact name CHRISTOPHER KARL SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY WRIGHT
PRESIDENT
2588 REDWOOD
GILMER TX 75645-7889

Officer/Director/Trustee Two

SERINA HEAD
VICE PRESIDENT
1702 EAST LAKE DRIVE
GLADEWATER TX 75647-9289

Officer/Director/Trustee Three

LUZ DOMINQUEZ
SECRETARY/TREASURER
1041 PR 1999
GLADEWATER TX 75647-7839

Officer/Director/Trustee Four

CHRISTOPHER SHELTON
DIRECTOR
10350 UNION GROVE ROAD
GLADEWATER TX 75647-3646

Officer/Director/Trustee Five

KIMBERLY MAYHAN
FACILITIES/EQUIPMENT ADMINISTRATOR
241 SUNBIRD LANE
GLADEWATER TX 75647-3756

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTOPHER SHELTON
Signature Title DIRECTOR
Signature Date 12/1/2020

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