FORM 1023-EZ for FAIRLESS YOUTH BASEBALL SOFTBALL ASSOCIATION

Field Data
EIN 41-2166490
Case Number EO-2016140-000409
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRLESS YOUTH BASEBALL SOFTBALL ASSOCIATION
Organization’s Mailing Address PO BOX 86
City BREWSTER
State OH
ZIP 44613
Accounting period End 12
Primary contact name KELLY GREGORICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID GODWIN
PRESIDENT
495 MAIN STREET W
BREWSTER OH 44613

Officer/Director/Trustee Two

BRYAN GREGORICH
VICE-PRESIDENT
9322 DAY AVE SW
NAVARRE OH 44662

Officer/Director/Trustee Three

JIM GILL
SECRETARY
PO BOX 144
BEACH CITY OH 44608

Officer/Director/Trustee Four

KELLY GREGORICH
TREASURER
9322 DAY AVE SW
NAVARRE OH 44662

Officer/Director/Trustee Five

DEXTER EHMER
EQUIPMENT MANAGER
11725 LAWNDELL RD SW
NAVARRE OH 44662

Organization’s website WWW.FYBSA.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2006
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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