FORM 1023-EZ for MADISON RAMS YOUTH FOOTBALL

Field Data
EIN 47-1009843
Case Number EO-2014303-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON RAMS YOUTH FOOTBALL
Organization’s Mailing Address 405 AGATE AVE
City MANSFIELD
State OH
ZIP 44907
Accounting period End 12
Primary contact name ANDREW J MEDWID ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOWARD LIVISKIE
PRESIDENT/DIRECTOR
405 AGATE AVE
MANSFIELD OH 44907

Officer/Director/Trustee Two

JUSTIN MCGREGOR
VICE PRESIDENT/DIRECTOR
1259 WARNER AVE
MANSFEILD OH 44905

Officer/Director/Trustee Three

JEFF BARRETT
VICE PRESIDENT/DIRECTOR
1004 PIKE DR
MANSFIELD OH 44903

Officer/Director/Trustee Four

STEVE SHAKSY
TREASURER/DIRECTOR
585 ACKER RD
MANSFIELD OH 44905

Officer/Director/Trustee Five

TIM DEEL
SECRETARY/DIRECTOR
692 HARLAN RD
LUCAS OH 44845

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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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