FORM 1023-EZ for GLASS CITY BROWNS BACKERS INC

Field Data
EIN 84-3499563
Case Number EO-2019305-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLASS CITY BROWNS BACKERS INC
Organization’s Mailing Address PO BOX 173
City LANCASTER
State OH
ZIP 43130
Accounting period End 12
Primary contact name MATTHEW E JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL LORENZI
PRESIDENT
431 W HUBERT AVENUE
LANCASTER OH 43130

Officer/Director/Trustee Two

LORI MARTIN
SECRETARY
1771 AUTUMN DRIVE
LANCASTER OH 43130

Officer/Director/Trustee Three

KENNETH HOPKINS
VICE PRESIDENT
448 MOTHERWELL AVENUE
LOGAN OH 43138

Officer/Director/Trustee Four

DEBBIE WALT
TREASURER
1260 E FAIR AVENUE
LANCASTER OH 43130

Organization’s website
Organization’s email GLASSCITYBROWNSBACKERS@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y01 - Alliance/Advocacy Organizations
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 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 MICHAEL LORENZI
Signature Title PRESIDENT
Signature Date 10/30/19

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