FORM 1023-EZ for HAMPSHIRE COUNTY YOUTH FOOTBALL

Field Data
EIN 86-3124150
Case Number EO-2021264-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAMPSHIRE COUNTY YOUTH FOOTBALL
Organization’s Mailing Address PO BOX 13
City ROMNEY
State WV
ZIP 26757
Accounting period End 12
Primary contact name TRAVIS G DELAPLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRETT PARSONS
PRESIDENT
18 MOUNTAIN TYME DRIVE
ROMNEY WV 26757

Officer/Director/Trustee Two

KARISA SAVILLE
VICE PRESIDENT
112 CRESTVIEW DRIVE
ROMNEY WV 26757

Officer/Director/Trustee Three

SABRINA MATHIAS
SECRETARY
1075 WILLIAM BERRY ROAD
AUGUSTA WV 26704

Officer/Director/Trustee Four

BARBIE MANNING
TREASURER
371 MIDVALE DRIVE
AUGUSTA WV 26704

Officer/Director/Trustee Five

SCOTT SEE
HEAD COACH
157 STAUBS WOOD DRIVE
ROMNEY WV 26757

Organization’s website
Organization’s email HAMPSHIRECOUNTYYOUTHFOOTBALL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State WV
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 GARRETT PARSONS
Signature Title PRESIDENT
Signature Date 7/12/2021

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