FORM 1023-EZ for HATTIESBURG ROLLER DERBY

Field Data
EIN 84-3432960
Case Number EO-2019296-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HATTIESBURG ROLLER DERBY
Organization’s Mailing Address 118 FIFTH ST N
City WIGGINS
State MS
ZIP 39577
Accounting period End 12
Primary contact name AMIE SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMIE SCHMIDT
TREASURER
118 FIFTH ST N
WIGGINS MS 39577

Officer/Director/Trustee Two

ANDREA BEARD
PRESIDENT
5010 OLD HIGHWAY 11
HATTIESBURG MS 39402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 AMIE SCHMIDT
Signature Title TREASURER
Signature Date 10/21/19

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