FORM 1023-EZ for NORTHFORK LUMBERJACK FOOTBALL

Field Data
EIN 47-1823781
Case Number EO-2014310-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHFORK LUMBERJACK FOOTBALL
Organization’s Mailing Address 90 PINEHILLDR
City JACKSON
State KY
ZIP 41339
Accounting period End 12
Primary contact name CHRIS HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS HAYES
HEAD COACH/VICE PRESIDENT
90 PINEHILLDR DR
JACKSON KY 41339

Officer/Director/Trustee Two

KAREN GRIFFITH
TREASURER
HWY 30 WEST
JACKSON KY 41339

Officer/Director/Trustee Three

ROB HOUNSHELL
ASST. COACH/PRESIDENT
PO BOX 205
CAMPTON KY 41301

Officer/Director/Trustee Four

DANA HAYES
SECRETARY
90 PINEHILLDR
JACKSON KY 41339

Organization’s website
Organization’s email ROBHOUNSHELL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2014
Organization Incorporation State KY
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
Signature Title
Signature Date

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