FORM 1023-EZ for MOUNTAINEER YOUTH FOOTBALL

Field Data
EIN 30-1076472
Case Number EO-2018211-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAINEER YOUTH FOOTBALL
Organization’s Mailing Address 60 ABUNDANCE LANE
City CLARKSBURG
State WV
ZIP 26301
Accounting period End 12
Primary contact name BILLIE JO DODD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BELTNER
PRESIDENT
439 BURNS FARM RD
GRAFTON WV 26354

Officer/Director/Trustee Two

DAVID COTTRILL
VICE PRESIDENT
20 BLOSSOM DRIVE
CLARKSBURG WV 26301

Officer/Director/Trustee Three

BILLIE JO DODD
TREASURER
60 ABUNDANCE LANE
CLARKSBURG WV 26301

Officer/Director/Trustee Four

KRISTI BARNARD
SECRETARY
235 OPAL LANE
MEADOWBROOK WV 26402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/18
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: 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 BILLIE JO DODD
Signature Title TREASURER
Signature Date 7/28/18

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