FORM 1023-EZ for GLASS CITY BROOMBALL

Field Data
EIN 86-3495222
Case Number EO-2021131-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLASS CITY BROOMBALL
Organization’s Mailing Address PO BOX 105
City MONCLOVA
State OH
ZIP 43542
Accounting period End 12
Primary contact name STEPHANIE KOVAR-GONZALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN BAUER
PRESIDENT
PO BOX 105
MONCLOVA OH 43542

Officer/Director/Trustee Two

STEPHANIE GONZALES
TREASURER
PO BOX 105
MONCLOVA OH 43542

Officer/Director/Trustee Three

SCOTT DIEFENBACH
LEAGUE DIRECTOR
PO BOX 105
MONCLOVA OH 43542

Officer/Director/Trustee Four

MONICA STEELE
LEAGUE MANAGER
PO BOX 105
MONCLOVA OH 43542

Officer/Director/Trustee Five

SIERA KOVAR
SECRETARY
PO BOX 105
MONCLOVA OH 43542

Organization’s website
Organization’s email GLASSCITYBROOMBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
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 STEPHANIE GONZALES
Signature Title TREASURER
Signature Date 5/7/2021

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