FORM 1023-EZ for NEW RIVER PATRIOTS YOUTH FOOTBALL ASSOCIATION INC

Field Data
EIN 80-0494696
Case Number EO-2015154-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW RIVER PATRIOTS YOUTH FOOTBALL ASSOCIATION INC
Organization’s Mailing Address 1736 EDMOND ROAD
City LOOKOUT
State WV
ZIP 25868
Accounting period End 12
Primary contact name LISA PERDUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAN OOTEN
PRESIDENT
205 LEANDER ROAD
VICTOR WV 25938

Officer/Director/Trustee Two

JOSH WORKMAN
VICE PRESIDENT
213 MALLARD ROAD
HICO WV 25854

Officer/Director/Trustee Three

STEVIE MOONEY
SECRETARY
1736 EDMOND ROAD
LOOKOUT WV 25868

Officer/Director/Trustee Four

LISA PERDUE
TREASURER
2202 MILROY GROSE ROAD
LANSING WV 25862

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2009
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: 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 Yes
One Third Support Gifts No
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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