FORM 1023-EZ for CHAGRIN VALLEY COMMUNITY BUILDERS AWARD INC

Field Data
EIN 84-1898547
Case Number EO-2019151-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAGRIN VALLEY COMMUNITY BUILDERS AWARD INC
Organization’s Mailing Address 1297 BELL ROAD
City CHAGRIN FALLS
State OH
ZIP 44022-4252
Accounting period End 12
Primary contact name LARRY G MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY MOORE
TREASURER
1297 BELL RD
CHAGRIN FALLS OH 44022-4252

Officer/Director/Trustee Two

BILL DIESING
PRESIDENT
14818 HOOK HOLLOW RD
NOVELTY OH 44072

Officer/Director/Trustee Three

SCOTT SHELL
VICE PRESIDENT
18814 CHILLICOTHE RD
CHAGRIN FALLS OH 44023

Officer/Director/Trustee Four

LOUIS FOW
SECRETARY
30 GREENTREE RD
CHAGRIN FALLS OH 44022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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 LARRY MOORE
Signature Title TREASURER
Signature Date 5/29/19

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