FORM 1023-EZ for OCEAN STATE ATHLETIC CLUB

Field Data
EIN 81-3603120
Case Number EO-2017102-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OCEAN STATE ATHLETIC CLUB
Organization’s Mailing Address 209 JASTRAM
City PROVIDENCE
State RI
ZIP 02908
Accounting period End 8
Primary contact name JORDAN MANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN MANN
DIRECTOR
209 JASTRAM
PROVIDENCE RI 02908

Officer/Director/Trustee Two

SHANE QUINN
DIRECTOR
319 JASTRAM
PROVIDENCE RI 02908

Officer/Director/Trustee Three

LIAM HILLERY
DIRECTOR
209 JASTRAM
PROVIDENCE RI 02908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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