FORM 1023-EZ for MIDDLETOWN PICKLEBALL ASSOCIATION INC

Field Data
EIN 46-0907364
Case Number EO-2016309-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDDLETOWN PICKLEBALL ASSOCIATION INC
Organization’s Mailing Address 210 MCKINLEY STREET
City MIDDLETOWN
State OH
ZIP 45042
Accounting period End 12
Primary contact name NORM MOON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMAN MOON
PRESIDENT
210 MCKINLEY STREET
MIDDLETOWN OH 45042

Officer/Director/Trustee Two

DOUG LEAR
VICE PRESIDENT
297 SANDS AVENUE
MONROE OH 45050

Officer/Director/Trustee Three

CONNIE PEAVLEY
SECRETARY
608 BRITTON LANE
MONROE OH 45050

Officer/Director/Trustee Four

CHERYL WYATT
TREASURER
1906 GRAND AVENUE
MIDDLETOWN OH 45044

Officer/Director/Trustee Five

ANTHONY BREWER
BOARD MEMBER
3203 BEXLEY DRIVE
MIDDLETOWN OH 45042

Organization’s website WWW.MIDDLETOWNPICKLEBALL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2012
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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