FORM 1023-EZ for JACOBS LADDER FITNESS

Field Data
EIN 47-4617397
Case Number EO-2015364-000112
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACOBS LADDER FITNESS
Organization’s Mailing Address 20472 COLLIER DRIVE
City STRONGSVILLE
State OH
ZIP 44149-4000
Accounting period End 12
Primary contact name DAVID S JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONY DORAZIO
PRESIDENT
20472 COLLIER DRIVE
STRONGSVILLE OH 44149-4000

Officer/Director/Trustee Two

DEAN MILLER
TREASURER - DIRECTOR
3012 PORTSMOUTH DRIVE
BRUNSWICK OH 44212-4344

Officer/Director/Trustee Three

DAN DORAZIO
SECRETARY
358 WATERSIDE DRIVE
AVON LAKE OH 44012-3103

Officer/Director/Trustee Four

MICHAEL VADINI
DIRECTOR
1024 ORIOLE STREET
CHARLOTTE NC 28203-4848

Officer/Director/Trustee Five

VINCENT DORAZIO
DIRECTOR
37924 PILGRIM COURT
NORTH RIDGEVILLE OH 44039-9802

Organization’s website WWW.JACOBSLADDERFITNESS.COM
Organization’s email TDORAZIO@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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