FORM 1023-EZ for CANEY VALLEY ATHLETIC ASSOCIATION

Field Data
EIN 73-1336979
Case Number EO-2015288-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANEY VALLEY ATHLETIC ASSOCIATION
Organization’s Mailing Address PO BOX 371
City OCHELATA
State OK
ZIP 74051
Accounting period End 12
Primary contact name ROBIN GRIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBIN GRIGGS
TREASURER
394792 W 2980 RD
OCHELATA OK 74051

Officer/Director/Trustee Two

DAN HORSMAN
EQUIPMENT MANAGER
462053 W 2700 RD
RAMONA OK 74061

Officer/Director/Trustee Three

YAHOLA WEBB
SOFTBALL REP
398624 W 2900 RD
RAMONA OK 74061

Officer/Director/Trustee Four

EDWIN BROWN
PRESIDENT
27503 N 3990 RD
RAMONA OK 74061

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/1989
Organization Incorporation State OK
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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