FORM 1023-EZ for WEST SALEM YOUTH FOOTBALL

Field Data
EIN 47-3706011
Case Number EO-2015121-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST SALEM YOUTH FOOTBALL
Organization’s Mailing Address PO BOX 5801
City SALEM
State OR
ZIP 97304
Accounting period End 12
Primary contact name NICHOLE KENNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICHOLE KENNY
PRESIDENT
PO BOX 5801
SALEM OR 97304

Officer/Director/Trustee Two

ANTHONY MARTIRANO
VICE PRESIDENT
PO BOX 5801
SALEM OR 97304

Officer/Director/Trustee Three

JON STUEVE
ATHLETIC DIRECTOR
PO BOX 5801
STUEVE OR 97304

Officer/Director/Trustee Four

RHONDA STUEVE
SECRETARY/TREASURER
PO BOX 5801
SALEM OR 97304

Officer/Director/Trustee Five

WAYNE BURROW
REGISTRAR
PO BOX 5801
SALEM OR 97304

Organization’s website WESTSALEMYOUTHFOOTBALL.COM
Organization’s email INFO@WESTSALEMFOOTBALL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2015
Organization Incorporation State OR
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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