FORM 1023-EZ for URBAN YOUTH FOOTBALL KICKING CAMP INC

Field Data
EIN 82-1072141
Case Number EO-2017152-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN YOUTH FOOTBALL KICKING CAMP INC
Organization’s Mailing Address 8911 DAVIES PLANTATION ROAD
City BARTLETT
State TN
ZIP 38133
Accounting period End 12
Primary contact name LARRY MOODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY MOODY
CHAIRMAN
8911 DAVIES PLANTATION ROAD
BARTLETT TN 38133

Officer/Director/Trustee Two

MYRON MAYS
TREASURER
6347 KIRBY DOWNS DRIVE
MEMPHIS TN 38115

Officer/Director/Trustee Three

ROBY WILLIAMS
SECRETARY
160 ISLAND PLACE
MEMPHIS TN 38103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
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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