FORM 1023-EZ for EASTSIDE COWBOYS ATHLETIC ASSOCIATION

Field Data
EIN 38-2271492
Case Number EO-2019039-000995
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTSIDE COWBOYS ATHLETIC ASSOCIATION
Organization’s Mailing Address 41415 ANDRE CT
City NOVI
State MI
ZIP 48377-2105
Accounting period End 12
Primary contact name JUANA BURSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TORIANO BELTON
PRESIDENT
269 FIELDING ST
FERNDALE MI 48220-2431

Officer/Director/Trustee Two

PATTIE MALONE
VICE PRESIDENT
41415 ANDRE CT
NOVI MI 48377-2105

Officer/Director/Trustee Three

JUANA BURSE
TREASURER
36204 DOMINION CIRCLE
STERLING HEIGHTS MI 48310-7457

Officer/Director/Trustee Four

CRYSTAL BOUISSI
SECRETARY
22329 QUINN RD
CLINTON TOWNSHIP MI 48035-3697

Officer/Director/Trustee Five

DOMINIQUE STALLINGH
BUSINESS MANAGER
23121 RAVEN
EASTPOINTE MI 48021-3708

Organization’s website WWW.EASTSIDECOWBOYS.ORG
Organization’s email INFO@EASTSIDECOWBOYS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/86
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: Yes
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 Yes
Correctness Declaration Yes
Signature Name JUANA BURSE
Signature Title TREASURER
Signature Date 2/6/19

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