FORM 1023-EZ for MEDINA STARS

Field Data
EIN 83-4480352
Case Number EO-2019170-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDINA STARS
Organization’s Mailing Address 237 1/2 EAST HOMESTEAD STREET
City MEDINA
State OH
ZIP 44256
Accounting period End 12
Primary contact name REGINALD REID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD REID
DIRECTOR
237 1/2 EAST HOMESTEAD STREET
MEDINA OH 44256

Officer/Director/Trustee Two

MATT NOBAK
DIRECTOR
4190 EAST SMITH ROAD
MEDINA OH 44256

Officer/Director/Trustee Three

MICHELLE FORSYTHE
BOARD MEMBER
639 EAST REAGAN PKWY 113
MEDINA OH 44256

Officer/Director/Trustee Four

PAMELA MCGILL
VICE PRESIDENT
2209 JAMAICA DRIVE
WILMINGTON DE 19810

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 REGINALD REID
Signature Title DIRECTOR
Signature Date 6/17/19

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