FORM 1023-EZ for ELLSWORTH COUNTY YOUTH SPORTS FOUNDATION

Field Data
EIN 47-1398720
Case Number EO-2018241-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELLSWORTH COUNTY YOUTH SPORTS FOUNDATION
Organization’s Mailing Address PO BOX 83 126 N DOUGLAS
City ELLSWORTH
State KS
ZIP 67439
Accounting period End 12
Primary contact name PATRICK HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLINT RODGERS
DIRECTOR
PO BOX 83 126 N DOUGLAS
ELLSWORTH KS 67439

Officer/Director/Trustee Two

PATRICK HOFFMAN
DIRECTOR
PO BOX 83 126 N DOUGLAS
ELLSWORTH KS 67439

Officer/Director/Trustee Three

SHAWN THOMAS
DIRECTOR
PO BOX 83 126 N DOUGLAS
ELLSWORTH KS 67439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/15
Organization Incorporation State KS
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: 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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICK HOFFMAN
Signature Title DIRECTOR
Signature Date 8/27/18

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