FORM 1023-EZ for LOUDOUN YOUTH FOOTBALL EXPERIENCE

Field Data
EIN 47-4401181
Case Number EO-2015177-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUDOUN YOUTH FOOTBALL EXPERIENCE
Organization’s Mailing Address PO BOX 223
City LOVETTSVILLE
State VI
ZIP 20185
Accounting period End 7
Primary contact name PETER MCKENNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER MCKENNA
PRESIDENT
16540 LEVADE DR
LEESBURG VA 20176

Officer/Director/Trustee Two

JOHN BLACKWELL
VICE PRESIDENT
38524 TRITICUM LN
LOVETTSVILLE VA 20180

Officer/Director/Trustee Three

HB KILGOUR
MEMBER AT LARGE
36541 INNISBROOKE CIR
PURCELLVILLE VA 20132

Officer/Director/Trustee Four

RONALD RUBIN
DIRECTOR OF FUND RAISING
22010 SUNSTONE CT
BROADLANDS VA 20148

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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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