FORM 1023-EZ for DELAWARE RISING FOOTBALL CLUB

Field Data
EIN 86-2319875
Case Number EO-2021103-000867
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELAWARE RISING FOOTBALL CLUB
Organization’s Mailing Address 39 W WINTER ST SUITE 209
City DELAWARE
State OH
ZIP 43015
Accounting period End 12
Primary contact name NATHANIEL CHWALIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW CHWALIK
BOARD CHAIR
5496 STATE ROUTE 521
DELAWARE OH 43015

Officer/Director/Trustee Two

RICKY KONKOLEWSKI
TREASURER
432 MCNAMARA LOOP
LEWIS CENTER OH 43035

Officer/Director/Trustee Three

ROBB MORGAN
VICE CHAIRMAN/SECRETARY
151 W LINCOLN AVE
DELAWARE OH 43015

Officer/Director/Trustee Four

NATHANIEL CHWALIK
DIRECTOR
5400 LEONARDSBURG RD
DELAWARE OH 43015

Officer/Director/Trustee Five

ERIC STALEY
GENERAL MEMBER
87 PROVIDENCE LN
DELAWARE OH 43015

Organization’s website DelawareRising.Club
Organization’s email Delawarerising@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2021
Organization Incorporation State OH
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: Yes
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 Yes
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 NATHANIEL CHWALIK
Signature Title DIRECTOR
Signature Date 4/6/2021

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