FORM 1023-EZ for JUNIOR ROLLER DERBY ASSOCIATION ROCKET CITY REBELS

Field Data
EIN 81-0854089
Case Number EO-2018253-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUNIOR ROLLER DERBY ASSOCIATION ROCKET CITY REBELS
Organization’s Mailing Address 324 BLUE CREEK DR
City HARVEST
State AL
ZIP 35749-9648
Accounting period End 8
Primary contact name SAMANTHA MCGRAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA MCGRAW
PRESIDENT
324 BLUE CREEK DR
HARVEST AL 35749-9648

Officer/Director/Trustee Two

MICHELE FRANK
VICE PRESIDENT
2353 GRIMWOOD RD
TONEY AL 35773-8760

Officer/Director/Trustee Three

SHANNON CARLSON
TREASURER
705 LARRY DRIVE
MADISON AL 35758-1116

Officer/Director/Trustee Four

RENEA HOLLIS
SECRETARY
401 GILMORE ST
MADISON AL 35758-1222

Officer/Director/Trustee Five

GRADY LITTLE
INTER LEAGUE COORDINATOR
101 LEA CIRCLE
MADISON AL 35758-7675

Organization’s website WWW.ROCKETCITYREBELS.COM
Organization’s email ROCKETCITYREBELS256@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/15
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 SAMANTHA MCGRAW
Signature Title PRESIDENT
Signature Date 9/6/18

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