FORM 1023-EZ for WAYNEDALE FLAG FOOTBALL INC

Field Data
EIN 83-1426263
Case Number EO-2018218-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAYNEDALE FLAG FOOTBALL INC
Organization’s Mailing Address PO BOX 2
City MOUNT EATON
State OH
ZIP 44659-2
Accounting period End 12
Primary contact name BRADLEY HERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEAU MASTRINE
PRESIDENT
4975 S HONEYTOWN ROAD REAR
WOOSTER OH 44691-6915

Officer/Director/Trustee Two

BRADLEY HERMAN
VICE PRESIDENT TREASURER SECRETARY
16523 KONITA DRIVE
NAVARRE OH 44662-9309

Officer/Director/Trustee Three

BRIAN ZUERCHER
TRUSTEE
858 S KANSAS ROAD
ORRVILLE OH 44667-9565

Officer/Director/Trustee Four

RICK REYNOLDS
TRUSTEE
560 BARNARD ROAD
WOOSTER OH 44691-8618

Officer/Director/Trustee Five

SHAWN MCKELVEY
TRUSTEE
PO BOX 113
FREDERICKSBURG OH 44627-113

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
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: Yes
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 BRADLEY HERMAN
Signature Title VICE PRESIDENT TREASURER SECRETARY
Signature Date 8/2/18

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