FORM 1023-EZ for CLEAR FORK YOUTH SOCCER LEAGUE

Field Data
EIN 87-2283111
Case Number EO-2021237-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAR FORK YOUTH SOCCER LEAGUE
Organization’s Mailing Address PO BOX 648
City BELLVILLE
State OH
ZIP 44813
Accounting period End 12
Primary contact name DAVID MYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MYERS
PRESIDENT
43 GRANT STREET
BUTLER OH 44822

Officer/Director/Trustee Two

ED SUDOL
VICE PRESIDENT
5248 DILL ROAD
BELLVILLE OH 44813

Officer/Director/Trustee Three

AMANDA CLOWER
TREASURER
5016 TEETER ROAD
BELLVILLE OH 44813

Officer/Director/Trustee Four

BETHANY HEFFELFINGER
SECRETARY
5110 FORBES ROAD
PERRYSVILLE OH 44864

Officer/Director/Trustee Five

CASSI BAUGHMAN
REGISTRAR
114 SCHOOL STREET
BELLVILLE OH 44813

Organization’s website
Organization’s email PRESIDENT.CFYSL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 DAVID MYERS
Signature Title PRESIDENT
Signature Date 8/23/2021

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