FORM 1023-EZ for BLUE HELMET CLUB OF EUCLID OHIO

Field Data
EIN 82-5337018
Case Number EO-2018130-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE HELMET CLUB OF EUCLID OHIO
Organization’s Mailing Address 711 EAST 222ND STREET
City EUCLID
State OH
ZIP 44123
Accounting period End 12
Primary contact name MARK A TRUBIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY L ROTSKY
DIRECTOR
711 EAST 222ND STREET
EUCLID OH 44123

Officer/Director/Trustee Two

JOSEPH KLIR
DIRECTOR
711 EAST 222ND STREET
EUCLID OH 44123

Officer/Director/Trustee Three

JONNIE LEMONS
DIRECTOR
711 EAST 222ND STREET
EUCLID OH 44123

Officer/Director/Trustee Four

TRACY HALE
DIRECTOR
24801 LAKESHORE BLVD 805B
EUCLID OH 44123

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 JEFFREY L ROTSKY
Signature Title DIRECTOR
Signature Date 5/8/18

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