FORM 1023-EZ for BATTLE MOUNTAIN ADULT SOFTBALL LEAGUE

Field Data
EIN 83-0522588
Case Number EO-2018171-000490
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BATTLE MOUNTAIN ADULT SOFTBALL LEAGUE
Organization’s Mailing Address 1443 HILLTOP ROAD
City BATTLE MOUNTAIN
State NV
ZIP 89820
Accounting period End 12
Primary contact name LAKEN MARINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON BERUMEN
PRESIDENT
745 W HUMBOLDT STREET
BATTLE MOUNTAIN NV 89820

Officer/Director/Trustee Two

CLAYTON MILLSAP
VICE PRESIDENT
430 KAYCI AVENUE
BATTLE MOUNTAIN NV 89820

Officer/Director/Trustee Three

KELLY FARNSWORTH
TREASURER
650 SHEEP CREEK ROAD
BATTLE MOUNTAIN NV 89820

Officer/Director/Trustee Four

LAKEN MARINE
TREASURER
1443 HILLTOP RD
BATTLE MOUNTAIN NV 89820

Officer/Director/Trustee Five

CAYLA MILLSAP
SECRETARY
430 KAYCI AVENUE
BATTLE MOUNTAIN NV 89820

Organization’s website
Organization’s email LAKENKAY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
Organization Incorporation State NV
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 LAKEN MARINE
Signature Title TREASURER
Signature Date 6/6/18

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