FORM 1023-EZ for WEST BRANCH LITTLE WARRIORS ATHLETIC ASSOCIATION INC

Field Data
EIN 61-1702023
Case Number EO-2015138-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST BRANCH LITTLE WARRIORS ATHLETIC ASSOCIATION INC
Organization’s Mailing Address PO BOX 17
City DAMASCUS
State OH
ZIP 44619
Accounting period End 12
Primary contact name TAMMY MIKOL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGG CARVER
PRESIDENT
4038 HOMEWORTH RD
HOMEWORTH OH 44634

Officer/Director/Trustee Two

SHEILA CAMPBELL
VICE PRESIDENT
3821 UNION AVE
HOMEWORTH OH 44634

Officer/Director/Trustee Three

TAMMY MIKOL
TREASURER
12865 DUCK CREEK RD
SALEM OH 44460

Officer/Director/Trustee Four

JULIE STEPHENS
SECRETARY
4463 MIDDLE STREET PO BOX 135
HOMEWORTH OH 44634

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/1978
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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