FORM 1023-EZ for WILLIS YOUTH SPORTS ASSOCIATION

Field Data
EIN 80-0194625
Case Number EO-2015141-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLIS YOUTH SPORTS ASSOCIATION
Organization’s Mailing Address PO BOX 1074
City WILLIS
State TX
ZIP 77378
Accounting period End 11
Primary contact name JERALD DICKERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERALD DICKERSON
PRESIDENT
PO BOX 1074
WILLIS TX 77378

Officer/Director/Trustee Two

CHARLES PERRY
VICE PRESIDENT
506 1/2 PADDOCK ST
WILLIS TX 77378

Officer/Director/Trustee Three

AMY JOHNSON
ADMINISTRATOR
13878 LONGSTREET RD
WILLIS TX 77318

Officer/Director/Trustee Four

CAROL MITCHELL
ADMIN. ASST.
10801 SUNFLOWER
WILLIS TX 77318

Officer/Director/Trustee Five

HOLLY DAVIS
TREASURER
4536 GRAND OAKS DR
WILLIS TX 77378

Organization’s website WILLISYOUTHFOOTBALL.COM
Organization’s email INFO@WILLISYOUTHFOOTBALL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2010
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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 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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