FORM 1023-EZ for CARROLL COUNTY YOUTH LEAGUE INC

Field Data
EIN 83-3467178
Case Number EO-2019351-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARROLL COUNTY YOUTH LEAGUE INC
Organization’s Mailing Address 22810 MAYFAIR AVE
City MINERVA
State OH
ZIP 44657
Accounting period End 12
Primary contact name SARA SHEPHERD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA KEYSER
PRESIDENT
22810 MAYFAIR AVE
MINERVA OH 44657

Officer/Director/Trustee Two

SARA SHEPHERD
TREASURER
1259 MOBILE RD
CARROLLTON OH 44615

Officer/Director/Trustee Three

ANGELA JOHNSON
COMMISSIONER
241 4TH ST SE
CARROLLTON OH 44615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2019
Organization Incorporation State OH
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: 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 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 SARA SHEPHERD
Signature Title TREASURER
Signature Date 12/13/2019

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