FORM 1023-EZ for CLARE YOUTH FOOTBALL

Field Data
EIN 45-4167999
Case Number EO-2019130-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLARE YOUTH FOOTBALL
Organization’s Mailing Address 6684 E BEAVERTON ROAD
City CLARE
State MI
ZIP 48617
Accounting period End 12
Primary contact name ROBERT JASON MACDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT MACDONALD
PRESIDENT
6684 E BEAVERTON ROAD
CLARE MI 48617

Officer/Director/Trustee Two

DIRK KRUSKAMP
VICE PRESIDENT
11133 S ATHEY
CLARE MI 48617

Officer/Director/Trustee Three

KIM DEWEY
TREAUSRER
1260 E MONROE RD
HARRISON MI 48625

Officer/Director/Trustee Four

STEPHANIE MACDONALD
SECRETARY
6684 E BEAVERTON ROAD
CLARE MI 48617

Officer/Director/Trustee Five

MATTHEW ALEXANDER
TRUSTEE
5136 E WASHINGTON
CLARE MI 48617

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/12
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name ROBERT MACDONALD
Signature Title PRESIDENT
Signature Date 5/8/19

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