FORM 1023-EZ for MANSFIELD CAVS YOUTH

Field Data
EIN 27-1730717
Case Number EO-2019105-000443
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MANSFIELD CAVS YOUTH
Organization’s Mailing Address 240 FIFTH AVENUE
City MANSFIELD
State OH
ZIP 44905
Accounting period End 12
Primary contact name JEVAR HUDGENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADONIS BOLDEN
PRESIDENT
727 WORTHINGTON WOODS
WORTHINGTON OH 43088

Officer/Director/Trustee Two

TERRY CONARD
VICE PRESIDENT
380 N MULBERRY
MANSFIELD OH 44903

Officer/Director/Trustee Three

STACIE POWELL
TREASURER/SECRETARY
531 HARDING WAY WEST
GALION OH 44833

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 STACIE POWELL
Signature Title TREASURER/SECRETARY
Signature Date 4/12/19

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