FORM 1023-EZ for CLARENCE BASEBALL ASSOCIATION

Field Data
EIN 43-1361531
Case Number EO-2014231-000029
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARENCE BASEBALL ASSOCIATION
Organization’s Mailing Address PO BOX 145
City CLARENCE
State MO
ZIP 63437
Accounting period End 12
Primary contact name JOLENE BLEVINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSH BLEVINS
PRESIDENT
805 HILLTOP RD
CLARENCE MO 63437

Officer/Director/Trustee Two

TABITHA KNAPP
SECRETARY
400 NORTH BROAD
CLARENCE MO 63437

Officer/Director/Trustee Three

JOLENE BLEVINS
TREASURER
805 HILLTOP RD
CLARENCE MO 63437

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/1964
Organization Incorporation State MO
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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