FORM 1023-EZ for MIAMI VALLEY FLY FISHERS EDUCATIONAL OUTREACH INC

Field Data
EIN 81-4948751
Case Number EO-2017017-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIAMI VALLEY FLY FISHERS EDUCATIONAL OUTREACH INC
Organization’s Mailing Address PO BOX 1027
City TROY
State OH
ZIP 45373
Accounting period End 12
Primary contact name SAM BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN VIA
PRESIDENT
PO BOX 1027
TROY OH 45373

Officer/Director/Trustee Two

PHIL CLAY
SECRETARY
PO BOX 1027
TROY OH 45373

Officer/Director/Trustee Three

SAM BROWN
TREASURER
PO BOX 1027
TROY OH 45373

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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