FORM 1023-EZ for WESTERN BROWN GOAL CLUB

Field Data
EIN 46-2871505
Case Number EO-2017052-000433
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN BROWN GOAL CLUB
Organization’s Mailing Address 601 S HIGH ST
City MT ORAB
State OH
ZIP 45154
Accounting period End 12
Primary contact name VINCENT ROADES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCENT P ROADES
TREASURER
601 S HIGH ST
MT ORAB OH 45154

Officer/Director/Trustee Two

TRACY COFFEY
SECRETARY
13901 TODDS RUN NEW HARMONY
WILLIAMSBURG OH 45176

Officer/Director/Trustee Three

SHELLEY OHARA
PRESIDENT
2717 UTTER ROAD
GEORGETOWN OH 45121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-2871505
Case Number EO-2015131-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN BROWN GOAL CLUB INC
Organization’s Mailing Address 1567 BARDWELL WEST ROAD
City MOUNT ORAB
State OH
ZIP 45154
Accounting period End 12
Primary contact name SHELLEY OHARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHELLEY OHARA
PRESIDENT
2717 UTTER ROAD
GEORGETOWN OH 45121

Officer/Director/Trustee Two

TRACY COFFEY
SECRETARY
13901 TODD RUN NEW HARMONY ROAD
WILLIAMSBURG OH 45176

Officer/Director/Trustee Three

VINCENT ROADES
TREASURER
1567 BARDWELL WEST ROAD
MOUNT ORAB OH 45154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 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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