FORM 1023-EZ for MADISON SPORTS CLUB

Field Data
EIN 23-7224579
Case Number EO-2017264-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON SPORTS CLUB
Organization’s Mailing Address 2231 ERNESTINE DRIVE
City MIDDLETOWN
State OH
ZIP 45042
Accounting period End 12
Primary contact name ALEX WEBB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX WEBB
PRESIDENT
2231 ERNESTINE DRIVE
MIDDLETOWN OH 45042

Officer/Director/Trustee Two

CHRISTOPHER GROWCOCK
VICE PRESIDENT
8183 KEISTER ROAD
MIDDLETOWN OH 45042

Officer/Director/Trustee Three

JENNIFER WEBB
TREASURER
2231 ERNESTINE DRIVE
MIDDLETOWN OH 45042

Officer/Director/Trustee Four

KERRI KELLY
SECRETARY
8253 MYERS ROAD
MIDDLETOWN OH 45042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/1975
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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