FORM 1023-EZ for CLEAN BEACH CO

Field Data
EIN 87-1493286
Case Number EO-2021202-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAN BEACH CO
Organization’s Mailing Address 621 MARKS RD UNIT I
City BRUSWICK
State OH
ZIP 44212
Accounting period End 12
Primary contact name VICTORIA PLOTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTORIA PLOTNER
CEO
621 MARKS RD UNIT I
BRUSWICK OH 44212

Officer/Director/Trustee Two

CHRISTINA CHRISTIAN-WELCH
CFO
856 GREENWICH TOWNLINE ROAD
HARTLAND TOWNSHIP OH 44851

Officer/Director/Trustee Three

KELLY MEZRA
OFFICER
4677 CANTERBURY ROAD
NORTH OLMSTEAD OH 44070

Officer/Director/Trustee Four

WAYNE TOCZEK
SECRETARY
102 PARSONS STREET
NORWALK OH 44857

Officer/Director/Trustee Five

JOSEPH SCHODOWSKI
OFFICER
12775 NORTH BOONE ROAD
COLUMBIA STATION OH 44028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 VICTORIA PLOTNER
Signature Title CEO
Signature Date 7/19/2021

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