FORM 1023-EZ for HAWTHORNE POP WARNER ASSOCIATION INC

Field Data
EIN 82-0701946
Case Number EO-2017079-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWTHORNE POP WARNER ASSOCIATION INC
Organization’s Mailing Address 380 M STREET
City HAWTHORNE
State NV
ZIP 89415-2511
Accounting period End 12
Primary contact name DAVID ZIEGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ZIEGLER
PRESIDENT
P O BOX 176
HAWTHORNE NV 89415

Officer/Director/Trustee Two

MELISSA ISOM
VISE-PRESIDENT
PO BOX 1878
HAWTHORNE NV 89415

Officer/Director/Trustee Three

KRISTIN STINSON
SECRETARY
PO BOX 2237
HAWTHORNE NV 89415

Officer/Director/Trustee Four

MISTY LOVE
TREASURER
PO BOX 672
HAWTHORNE NV 89415

Officer/Director/Trustee Five

KARRY LARRAMENDY
BOARD MEMBER
PO BOX 2080
HAWTHORNE NV 89415

Organization’s website WWW.HAWTHORNEPOPWARNER.COM
Organization’s email HAWTHORNEPOPWARNER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2017
Organization Incorporation State NV
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: 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 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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