FORM 1023-EZ for BALLARD YOUTH FOOTBALL

Field Data
EIN 20-0053832
Case Number EO-2019246-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BALLARD YOUTH FOOTBALL
Organization’s Mailing Address 508 PRESTON DR
City HUXLEY
State IA
ZIP 50124
Accounting period End 12
Primary contact name RICK BENTROTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK BENTROTT
PRESIDENT
508
HUXLEY IA 50124

Officer/Director/Trustee Two

MATT AGENA
TREASURER
300 CENTENNIAL DR
HUXLEY IA 50124

Officer/Director/Trustee Three

HAYLIE CLARK
SECRETARY
807 PINE VALLEY DR
HUXLEY IA 50124

Officer/Director/Trustee Four

ETHAN HOKEL
DIRECTOR
429 WEST CENTENNIAL DRIVE
HUXLEY IA 50124

Organization’s website HTTP://WWW.BALLARDJETS.COM
Organization’s email BALLARDJETS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/09
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 RICK BENTROTT
Signature Title PRESIDENT
Signature Date 8/30/19

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