FORM 1023-EZ for HIGHLAND YOUTH SOFTBALL ORGANIZATION

Field Data
EIN 83-0786217
Case Number EO-2019037-000801
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGHLAND YOUTH SOFTBALL ORGANIZATION
Organization’s Mailing Address 777 STATE ROUTE 314
City CENTERBURG
State OH
ZIP 43011
Accounting period End 12
Primary contact name MICHELLE THIERET MOOTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE THIERET MOOTY
PRESIDENT
777 STATE ROUTE 314
CENTERBRUG OH 43011

Officer/Director/Trustee Two

MICHELLE CROY
TREASURER
2090 STATE ROUTE 61
MARENGO OH 43334

Officer/Director/Trustee Three

GINNY WEST
SECRETARY
2280 TWP RD 180
FREDERICKTOWN OH 43019

Officer/Director/Trustee Four

DANE THIERET MOOTY
MAINTENANCE
777 STATE ROUTE 314
CENTERBURG OH 43011

Officer/Director/Trustee Five

TY HICKS
VICE PRESIDENT
PO BOX 433
MARENGO OH 43334

Organization’s website
Organization’s email HIGHLANDYOUTHSOFTBALL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE THIERET MOOTY
Signature Title PRESIDENT
Signature Date 1/28/19

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