FORM 1023-EZ for VIKING YOUTH FOOTBALL ASSOCIATION

Field Data
EIN 46-5464125
Case Number EO-2015036-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VIKING YOUTH FOOTBALL ASSOCIATION
Organization’s Mailing Address PO BOX 25
City RANDOLPH
State OH
ZIP 44265-0025
Accounting period End 12
Primary contact name COREY MYRLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH DUVALL
PRESIDENT
14220 ATWATER AVE NE
ALLIANCE OH 44601-8837

Officer/Director/Trustee Two

JOHN FOSTER
VICE PRESIDENT
4343 FAIRGROUNDS RD
ATWATER OH 44201-9372

Officer/Director/Trustee Three

COREY MYRLA
SECRETARY-TREASURER
4443 FAIRGROUNDS RD
ATWATER OH 44201-9390

Officer/Director/Trustee Four

DARRIN WERBECK
LOCAL COMMISSIONER
2609 HARTVILLE RD
ROOTSTOWN OH 44272-9658

Officer/Director/Trustee Five

ROBERT DUNCAN
LOCAL COMMISSIONER
4171 LAUBERT RD
ATWATER OH 44201-9795

Organization’s website VIKINGYOUTHFOOTBALL.COM
Organization’s email COREY@VIKINGYOUTHFOOTBALL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2014
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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