FORM 1023-EZ for NWA BLAST

Field Data
EIN 83-4505441
Case Number EO-2019115-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NWA BLAST
Organization’s Mailing Address 18077 ASTOR DR
City FAYETTEVILLE
State AR
ZIP 72704
Accounting period End 12
Primary contact name JULIANNE DONATHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIANNE DONATHAN
PRESIDENT
18077 ASTOR DR
FAYETTEVILLE AR 72704

Officer/Director/Trustee Two

DEREK DONATHAN
ORGANIZER
18077 ASTOR DR
FAYETTEVILLE AR 72704

Officer/Director/Trustee Three

ZACH ROGERS
ORGANIZER
475 NELSON COURT
PEA RIDGE AR 72751

Officer/Director/Trustee Four

JAMIE ROGERS
ORGANIZER
475 NELSON COURT
PEA RIDGE AR 72751

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 JULIANNE DONATHAN
Signature Title PRESIDENT
Signature Date 4/23/19

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