FORM 1023-EZ for PLYMOUTH-SHILOH YOUTH SFOTBALL ORGANIZATION

Field Data
EIN 81-4675686
Case Number EO-2016364-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLYMOUTH-SHILOH YOUTH SFOTBALL ORGANIZATION
Organization’s Mailing Address 24 ORCHARD ST
City GREENWICH
State OH
ZIP 44837
Accounting period End 12
Primary contact name CHARLENE CREVELING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERMON IRVEN
PRESIDENT
1463 NOBLE WEST RD
SHILOH OH 44878

Officer/Director/Trustee Two

BRIAN FELLOWS
VICE PRESIDENT
5676 PRESTON RD
SHELBY OH 44875

Officer/Director/Trustee Three

CHARLENE CREVELING
TREASURER
24 ORCHARD ST
GREENWICH OH 44837

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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