FORM 1023-EZ for I9 SPORTS ASSOCIATION - CHAPTER 410INC

Field Data
EIN 84-5147907
Case Number EO-2020083-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I9 SPORTS ASSOCIATION - CHAPTER 410INC
Organization’s Mailing Address 3559 COPLEY ROAD
City COPLEY
State OH
ZIP 44321
Accounting period End 12
Primary contact name STEVEN MARK KATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH HOLIBAUGH
DIRECTOR
2280 DAUER COURT
POWELL OH 43065

Officer/Director/Trustee Two

TIFFANY HOLIBAUGH
DIRECTOR
2280 DAUER COURT
POWELL OH 43065

Officer/Director/Trustee Three

ADAM HUBBLE
DIRECTOR
1391 SOUTH AZALEA BOULEVARD
BARBERTON OH 44203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2020
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: 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 Yes
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 JOSEPH HOLIBAUGH
Signature Title DIRECTOR
Signature Date 3/19/2020

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