FORM 1023-EZ for COLUMBIA INDIANS

Field Data
EIN 82-3092498
Case Number EO-2018242-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBIA INDIANS
Organization’s Mailing Address PO BOX 282
City FAIRVIEW
State TN
ZIP 37062
Accounting period End 12
Primary contact name SAMANTHA ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA ADAMS
DIRECTOR
7212 CHESTER RD
FAIRVIEW TN 37062

Officer/Director/Trustee Two

AMY BILLINGSLEY
SECRETARY
7517 FAIRFIELD CT
FAIRVIEW TN 37062

Officer/Director/Trustee Three

MEGAN MCCOY
TREASURER
PO BOX 1162
FAIRVIEW TN 37062

Officer/Director/Trustee Four

RYAN HUNTZINGER
BOARD MEMBER
1427 OAK LEAF DR
COLUMBIA TN 38401

Organization’s website COLUMBIAINDIANS.COM
Organization’s email INDIANSBASEBALL@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/17
Organization Incorporation State TN
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: Yes
Religious: No
Educational: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY BILLINGSLEY
Signature Title SECRETARY
Signature Date 8/27/18

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