FORM 1023-EZ for HAYSI LITTLE LEAGUE

Field Data
EIN 83-4513475
Case Number EO-2019116-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAYSI LITTLE LEAGUE
Organization’s Mailing Address PO BOX 437
City HAYSI
State VA
ZIP 24256
Accounting period End 9
Primary contact name DAVID B OQUIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID OQUIN
PRESIDENT
4810 BARTLICK RD
HAYSI VA 24256

Officer/Director/Trustee Two

RYAN WALLACE
TREASURE
109 MINNIE WALLACE LN
HAYSI VA 24256

Officer/Director/Trustee Three

AMY YATES
VP OF SOFTBALL
7121 BIG RIDGE RD
HAYSI VA 24256

Officer/Director/Trustee Four

CHRIS RAMEY
VP OF BASEBALL
3224 SANDLICK RD
BIRCHLEAF VA 24220

Officer/Director/Trustee Five

CHRIS VIERS
PLAYER AGENT
219 LOOP CIRCLE
HAYSI VA 24256

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/18
Organization Incorporation State VA
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: 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 DAVID OQUIN
Signature Title PRESIDENT
Signature Date 4/24/19

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