FORM 1023-EZ for BANNOCK CLAY BUSTERS

Field Data
EIN 83-3860259
Case Number EO-2019246-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BANNOCK CLAY BUSTERS
Organization’s Mailing Address PO BOX 550
City INKOM
State ID
ZIP 83250
Accounting period End 12
Primary contact name DARIN AMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD DYE
PRESIDENT
355 N MARSH CREEK ROAD
MCCAMMON ID 83250

Officer/Director/Trustee Two

DARIN AMES
VICE PRESIDENT
2199 MICHAUD CREEK ROAD
POCATELLO ID 83204-7519

Officer/Director/Trustee Three

JACKIE MORRIS
SEC/TREASURER
2375 MOSER ROAD
AMERICAN FALLS ID 83211

Organization’s website
Organization’s email BANNOCKCLAYBUSTERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/19
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 DARIN AMES
Signature Title VICE PRESIDENT
Signature Date 8/30/19

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