FORM 1023-EZ for BACKS BOXING ACADEMY

Field Data
EIN 84-4271859
Case Number EO-2020015-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACKS BOXING ACADEMY
Organization’s Mailing Address 6124 BLUE ROCK ROAD
City CINCINNATI
State OH
ZIP 45247
Accounting period End 12
Primary contact name TIMOTHY BACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY BACK
EXECUTIVE DIRECTOR
6124 BLUE ROCK ROAD
CINCINNATI OH 45247

Officer/Director/Trustee Two

JUSTINE FICHVOGT
SECRETARY
6124 BLUE ROCK ROAD
CINCINNATI OH 45247

Officer/Director/Trustee Three

JOSHUA SNOW
TREASURER
6124 BLUE ROCK ROAD
CINNCINATI OH 45247

Organization’s website
Organization’s email TIMBACKTWO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 TIMOTHY BACK
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/13/2020

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