FORM 1023-EZ for 5 STAR FOOTBALL ACADEMY

Field Data
EIN 82-0798273
Case Number EO-2017079-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 5 STAR FOOTBALL ACADEMY
Organization’s Mailing Address 300 SOUTH MAIN AVE
City SIOUX FALLS
State SD
ZIP 57104
Accounting period End 12
Primary contact name THOMAS L JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA CRUMP
DIRECTOR
200 NORTH STREET
VIBORG SD 57070

Officer/Director/Trustee Two

TRICE CRUMP
DIRECTOR
200 NORTH STREET
VIBORG SD 57070

Officer/Director/Trustee Three

GREG MCKINSTRY
DIRECTOR
300 SOUTH MAIN AVE
SIOUX FALLS SD 57104

Officer/Director/Trustee Four

ROBERT REED
DIRECTOR
300 SOUTH MAIN AVE
SIOUX FALLS SD 57104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2017
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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