FORM 1023-EZ for JACKSON COUNTY YOUTH SPORTS INC

Field Data
EIN 83-3015663
Case Number EO-2019035-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON COUNTY YOUTH SPORTS INC
Organization’s Mailing Address 115 JACKSON ENERGY LANE
City MCKEE
State KY
ZIP 40447
Accounting period End 12
Primary contact name MICHAEL STIDHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY CHRISMAN
PRESIDENT
115 JACKSON ENERGY LANE
MCKEE KY 40447

Officer/Director/Trustee Two

KEITH GABBARD
VICE-PRESIDENT
115 JACKSON ENERGY LANE
MCKEE KY 40447

Officer/Director/Trustee Three

KAREN COMBS
SECRETARY
115 JACKSON ENERGY LANE
MCKEE KY 40447

Officer/Director/Trustee Four

LARRY GABBARD
TREASURER
115 JACKSON ENERGY LANE
MCKEE KY 40447

Officer/Director/Trustee Five

MICHAEL STIDHAM
REGISTERED AGEN
115 JACKSON ENERGY LANE
MCKEE KY 40447

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 MICHAEL STIDHAM
Signature Title REGISTERED AGEN
Signature Date 1/10/19

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