FORM 1023-EZ for BROOKVILLE YOUTH FOOTBALL

Field Data
EIN 25-1770838
Case Number EO-2016165-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROOKVILLE YOUTH FOOTBALL
Organization’s Mailing Address 136 ZIG LANE
City BROOKVILLE
State PA
ZIP 15825
Accounting period End 12
Primary contact name CHARITY ROWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COREY OAKES
PRESIDENT
24 CLARK STREET
BROOKVILLE PA 15825

Officer/Director/Trustee Two

ROBERT SMITH
VICE PRESIDENT
30 THOMPSON STREET
BROOKVILLE PA 15825

Officer/Director/Trustee Three

ALYSSA HANNAH
SECRETARY
17032 RT 322
BROOKVILLE PA 15825

Officer/Director/Trustee Four

CHARITY ROWE
TREASURER
136 ZIG LANE
BROOKVILLE PA 15825

Officer/Director/Trustee Five

TINA HOUSEHOLDER
CO TREASURER
996 MCMANIGLE RD
BROOKVILLE PA 15825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/1995
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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