FORM 1023-EZ for ANCHOR BAY TARS YOUTH FOOTBALL

Field Data
EIN 80-0186341
Case Number EO-2016253-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANCHOR BAY TARS YOUTH FOOTBALL
Organization’s Mailing Address 3698 SAINT CLAIR DRIVE
City NEW BALTIMORE
State MI
ZIP 48047
Accounting period End 12
Primary contact name SCOTT SMYKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI MCNAMARA
SECRETARY
35576 BROOKE COURT
NEW BALTIMORE MI 48047

Officer/Director/Trustee Two

DOUGLAS ZIELECKI
DIRECTOR OF FUNDRAISING
36609 AUDREY
NEW BALTIMORE MI 48047

Officer/Director/Trustee Three

BRIAN TRINITY
EQUIPMENT DIRECTOR
51969 HUNTLEY
NEW BALTIMORE MI 48047

Officer/Director/Trustee Four

EDWARD LULKO
COMMUNITY DIRECTOR
53302 FORESTGLADE
CHESTERFIELD MI 48047

Officer/Director/Trustee Five

SCOTT SMYKOWSKI
TREASURER
36098 SAINT CLAIR DRIVE
NEW BALTIMORE MI 48047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2008
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: No
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 Yes
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
Signature Title
Signature Date

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