FORM 1023-EZ for CC YOUTH SPORTS INC

Field Data
EIN 82-3916114
Case Number EO-2018010-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CC YOUTH SPORTS INC
Organization’s Mailing Address 2410 S 9TH STREET
City LAFAYETTE
State IN
ZIP 47909
Accounting period End 12
Primary contact name MATTHEW J METZGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WADE SEABURG
DIRECTOR AND PRESIDENT
2410 S 9TH STREET
LAFAYETTE IN 47909

Officer/Director/Trustee Two

NICK ROOZE
DIRECTOR AND SECRETARY
2410 S 9TH STREET
LAFAYETTE IN 47909

Officer/Director/Trustee Three

MATTHEW METZGER
DIRECTOR AND TREASURER
2410 S 9TH STREET
LAFAYETTE IN 47909

Officer/Director/Trustee Four

NICK ADLER
DIRECTOR
2410 S 9TH STREET
LAFAYETTE IN 47909

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 MATTHEW METZGER
Signature Title DIRECTOR AND TREASURER
Signature Date 1/8/18

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