FORM 1023-EZ for FIVE ISLAND YELLOW BASS BASH INC

Field Data
EIN 83-1694587
Case Number EO-2018250-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIVE ISLAND YELLOW BASS BASH INC
Organization’s Mailing Address 1602 17TH STREET
City EMMETSBURG
State IA
ZIP 50536-2162
Accounting period End 12
Primary contact name STEVEN CARNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN CARNEY
PRESIDENT
1602 17TH STREET
EMMETSBURG IA 50536-2162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 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 STEVEN CARNEY
Signature Title PRESIDENT
Signature Date 9/5/18

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