FORM 1023-EZ for NOSELF

Field Data
EIN 81-5347410
Case Number EO-2017067-000474
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOSELF
Organization’s Mailing Address 792 TENNEY AVE
City CAMPBELL
State OH
ZIP 44405
Accounting period End 12
Primary contact name KAYLA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLA WILLIAMS
OFFICER
792 TENNEY AVE
CAMPBELL OH 44405

Officer/Director/Trustee Two

JEROME JUSTICE
DIRECTOR
407 WESLEY AVE
YOUNGSTOWN OH 44509

Officer/Director/Trustee Three

KETUAN BALDWIN
TRUSTEE
407 WESLEY AVE
YOUNGSTOWN OH 44509

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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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