FORM 1023-EZ for WEST MONTGOMERY YOUTH FOOTBALL ASSOCIATION

Field Data
EIN 47-1485781
Case Number EO-2015212-000397
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST MONTGOMERY YOUTH FOOTBALL ASSOCIATION
Organization’s Mailing Address 1301 ROBEDO RD
City MOUNT GILEAD
State NC
ZIP 27306
Accounting period End 12
Primary contact name JASON HENSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON HENSLEY
PRESIDENT
1301 ROBEDO RD
MOUNT GILEAD NC 27306

Officer/Director/Trustee Two

CHRIS LUCAS
VICE PRESIDENT
144 MYRTLEWOOD DR
MOUNT GILEAD NC 27306

Officer/Director/Trustee Three

DANIELLE DAVIS
TREASURER
494 CAROLINA DR
TROY NC 27371

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2014
Organization Incorporation State NC
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 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
Signature Title
Signature Date

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