FORM 1023-EZ for STARFISH ASSIGNMENT

Field Data
EIN 83-2584231
Case Number EO-2019154-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STARFISH ASSIGNMENT
Organization’s Mailing Address 6518 CABOT CT
City DUBLIN
State OH
ZIP 43017
Accounting period End 9
Primary contact name NICOLE BANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE BANKS
PRESIDENT
6518 CABOT CT
DUBLIN OH 43017

Officer/Director/Trustee Two

THOMAS SPYKER
DIRECTOR
200 S CIVIC CENTER DRIVE SUITE 800
COLUMBUS OH

Officer/Director/Trustee Three

JAMES FAIRCHILD
DIRECTOR
401 N YEARLING ROAD
WHITEHALL OH 43213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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 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 THOMAS SPYKER
Signature Title DIRECTOR
Signature Date 5/30/19

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