FORM 1023-EZ for SIGNAL MOUNTAIN YOUTH BASEBALL

Field Data
EIN 46-0640145
Case Number EO-2016021-000566
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIGNAL MOUNTAIN YOUTH BASEBALL
Organization’s Mailing Address PO BOX 574
City SIGNAL MOUNTAIN
State TN
ZIP 37377
Accounting period End 12
Primary contact name HEATH GILES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATH GILES
PRESIDENT
1313 BROW ESTATES DR
SIGNAL MTN TN 37377

Officer/Director/Trustee Two

DAN DOTSON
VICE PRESIDENT
2913 KELL ROAD
SIGNAL MTN TN 37377

Officer/Director/Trustee Three

KAYSE RIGSBY
SECRETARY
2216 HOLLYWOOD LANE
SIGNAL MTN TN 37377

Officer/Director/Trustee Four

RANDALL JOHNSON
UMPIRE COORDINATOR
320 BLUFFVIEW AVE
SIGNAL MTN TN 37377

Officer/Director/Trustee Five

JUSTIN SVEADAS
COMMISSIONER
4911 CHESTNUT AVE
SIGNAL MTN TN 37377

Organization’s website SMYOUTHBASEBALL.ORG
Organization’s email SIGNALMOUNTAINYOUTHBASEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2011
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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