FORM 1023-EZ for OHIO YOUTH DEVELOPMENT FOUNDATION

Field Data
EIN 84-4129991
Case Number EO-2020196-000496
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OHIO YOUTH DEVELOPMENT FOUNDATION
Organization’s Mailing Address 1142 ALLISON ROAD / P O BOX 987
City BELLEFONTAINE
State OH
ZIP 43311-0987
Accounting period End 12
Primary contact name ROD COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROD COLLINS
PRESIDENT / EXECUTIVE DIRECTOR
1142 ALLISON ROAD
BELLEFONTAINE OH 43311-0987

Officer/Director/Trustee Two

DEREK DIRCKSEN
DIRECTOR OF YOUTH ACTIVITIES
1142 ALLISON ROAD
BELLEFONTAINE OH 43311-0987

Organization’s website
Organization’s email OHIOYOUTHDEVELOPMENTFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2019
Organization Incorporation State OH
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: Yes
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 Yes
Donation of funds Yes
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 ROD COLLINS
Signature Title PRESIDENT / EXECUTIVE DIRECTOR
Signature Date 6/12/2020

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