FORM 1023-EZ for CLERMONT COUNTY YOUTH FOOTBALL LEAGUE

Field Data
EIN 84-3147873
Case Number EO-2019310-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLERMONT COUNTY YOUTH FOOTBALL LEAGUE
Organization’s Mailing Address PO BOX 563
City BATAVIA
State OH
ZIP 45103
Accounting period End 12
Primary contact name MARK KHULENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK KHULENBERG
TRUSTEE/TREASURER
PO BOX 563
BATAVIA OH 45103

Officer/Director/Trustee Two

SCOTT DONALDSON
PRESIDENT
PO BOX 563
BATAVIA OH 45103

Officer/Director/Trustee Three

KEITH BARRETT
VICE PRESIDENT
PO BOX 563
BATAVIA OH 45103

Officer/Director/Trustee Four

SEAN HOOVER
VICE PRESIDENT
PO BOX 563
BATAVIA OH 45103

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/19
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: No
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 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 MARK KHULENBERG
Signature Title TRUSTEE/TREASURER
Signature Date 11/4/19

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