FORM 1023-EZ for JEFFERSON - SHELBY YOUTH FOOTBALL

Field Data
EIN 87-1018270
Case Number EO-2021264-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFERSON - SHELBY YOUTH FOOTBALL
Organization’s Mailing Address 817 CREEKVIEW DRIVE
City PELHAM
State AL
ZIP 35124
Accounting period End 12
Primary contact name ERIC JOHNSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT VERNER
PRESIDENT
817 CREEKVIEW DRIVE
PELHAM AL 35124

Officer/Director/Trustee Two

GREG BLACKMON
VICE PRESIDENT
201 BROOK TRACE DRIVE
HOOVER AL 35080

Officer/Director/Trustee Three

WILLIAM MILLER
SECRETARY TREASURER
6280 HWY 17
HELENA AL 35080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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 SCOTT VERNER
Signature Title PRESIDENT
Signature Date 7/12/2021

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