FORM 1023-EZ for NORTHWEST YOUTH SPORTS ASSOCIATIONINC

Field Data
EIN 56-1965167
Case Number EO-2016197-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST YOUTH SPORTS ASSOCIATIONINC
Organization’s Mailing Address 226 CLEMENS DR
City PIKEVILLE
State NC
ZIP 27863
Accounting period End 6
Primary contact name KEN WESSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEWART HOWELL
PRESIDENT
536 VAIL RD
PIKEVILLE NC 27863

Officer/Director/Trustee Two

TIM FAIL
VICE PRESIDENT
809 NAHUNTA RD
PIKEVILLE NC 27863

Officer/Director/Trustee Three

KEN WESSELL
TREASURER
226 CLEMENS DR
PIKEVILLE NC 27863

Officer/Director/Trustee Four

JESS HARBISON
SECRETARY
105 GLAVINE CT
PIKEVILLE NC 27863

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2008
Organization Incorporation State NC
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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