FORM 1023-EZ for CLAYMONT YOUTH FOOTBALL

Field Data
EIN 84-2679692
Case Number EO-2020079-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAYMONT YOUTH FOOTBALL
Organization’s Mailing Address 815 N 2ND ST
City DENNISON
State OH
ZIP 44621
Accounting period End 12
Primary contact name CODY DEEMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CODY DEEMS
PRESIDENT
220 W 10TH ST
UHRICHSVILLE OH 44683

Officer/Director/Trustee Two

ROBERT FAIR
VICE PRESIDENT
815 N 2ND ST
DENNISON OH 44621

Officer/Director/Trustee Three

ROBERT GRAY
TRESURER
135 MCCREA AVE
DENNISON OH 44621

Officer/Director/Trustee Four

TODD GIUMENTI
SECRETARY
348 HERRICK ST
UHRICHSVILLE OH 44683

Organization’s website N/A
Organization’s email HEY_MCFLY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2020
Organization Incorporation State OH
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: Yes
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 ROBERT FAIR
Signature Title VICE PRESIDENT
Signature Date 3/17/2020

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