FORM 1023-EZ for ASHLAND YOUTH ASSOCIATION

Field Data
EIN 81-1539884
Case Number EO-2021093-000347
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASHLAND YOUTH ASSOCIATION
Organization’s Mailing Address PO BOX 303
City ASHLAND
State IL
ZIP 62612
Accounting period End 12
Primary contact name KERI COSNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORY TODD
PRESIDENT
540 NORTH CLAY STREET
ASHLAND IL 62612

Officer/Director/Trustee Two

SAMANTHA DYSON
VICE PRESIDENT
314 W BUCHANAN STREET
ASHLAND IL 62612

Officer/Director/Trustee Three

KERI COSNER
TREASURER
3751 NEWMANSVILLE ROAD
ASHLAND IL 62612

Officer/Director/Trustee Four

CURTIS COSNER
SECRETARY
3751 NEWMANSVILLE ROAD
ASHLAND IL 62612

Organization’s website
Organization’s email ASHLANDYOUTHASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/1996
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name SAMANTHA DYSON
Signature Title VICE PRESIDENT
Signature Date 3/1/2021
EIN 81-1539884
Case Number EO-2016055-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASHLAND YOUTH ASSOCIATION
Organization’s Mailing Address 416 NORTH SYLVAN ST
City ASHLAND
State IL
ZIP 62612
Accounting period End 12
Primary contact name LUKE THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER RATLIFF
PRESIDENT
604 E FRANKLIN
ASHLAND IL 62612

Officer/Director/Trustee Two

LUKE COOKSON
VICE PRESIDENT
705 WEST FREEMONT
ASHLAND IL 62612

Officer/Director/Trustee Three

LORI ROBERTS
SECRETARY
PO BOX 493
ASHLAND IL 62612

Officer/Director/Trustee Four

JENNIFER FANNING
TREASURER
516 EAST WASHINGTON
ASHLAND IL 62612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/1996
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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
Signature Title
Signature Date

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