FORM 1023-EZ for LADY RAIDERS SPIKER CLUB

Field Data
EIN 82-1353452
Case Number EO-2017289-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADY RAIDERS SPIKER CLUB
Organization’s Mailing Address 6699 EAST LIVINGSTON AVENUE
City REYNOLDSBURG
State OH
ZIP 43068
Accounting period End 12
Primary contact name LAURA T SOWARDS-CARMICHAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA SOWARDS-CARMICHAEL
TREASURER
6699 E LIVINGSTON AVENUE
REYNOLDSBURG OH 43068

Officer/Director/Trustee Two

KATHLEEN LONG
VICE PRESIDENT
6699 E LIVINGSTON AVENUE
REYNOLDSBURG OH 43068

Officer/Director/Trustee Three

STEPHANIE DOYLE
ASSISTANT TREASURER
6699 E LIVINGSTON AVENUE
REYNOLDSBURG OH 43068

Officer/Director/Trustee Four

KRISTINA ROUSSELLE
CONCESSION COORDINATOR
6699 E LIVINGSTON AVENUE
REYNOLDSBURG OH 43068

Officer/Director/Trustee Five

DAVID ROUSSELLE
MEDIA COORDINATOR
6699 E LIVINGSTON AVENUE
REYNOLDSBURG OH 43068

Organization’s website
Organization’s email LADYRAIDERSVOLLEYBALL1@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2017
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: 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
Signature Title
Signature Date

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