FORM 1023-EZ for SANDY VALLEY YOUTH FOOTBALL & CHEER

Field Data
EIN 83-4698860
Case Number EO-2021099-001135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANDY VALLEY YOUTH FOOTBALL & CHEER
Organization’s Mailing Address 116 WILSON AVE
City WAYNESBURG
State OH
ZIP 44688
Accounting period End 12
Primary contact name JEREMIAH STOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CLARK
PRESIDENT
5406 HILLTOP DR
MAGNOLIA OH 44643

Officer/Director/Trustee Two

JEREMIAH STOUT
PRESIDENT ELECT
116 WILSON AVE
WAYNESBURG OH 44688

Officer/Director/Trustee Three

SUSAN FIDDLER
SECRETARY
12050 STEELE AVE PO BOX 116
SANDYVILLE OH 44671

Officer/Director/Trustee Four

MELISSA CASEBOLT
TREASURER
296 PLUM ST
MAGNOLIA OH 44643

Officer/Director/Trustee Five

DAVID GRAYBILL
VICE PRESIDENT
3682 FARBER ST
MAGNOLIA OH 44643

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2019
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: 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 JEREMIAH STOUT
Signature Title PRESIDENT ELECT
Signature Date 3/18/2021

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