FORM 1023-EZ for S P JERMAIN HISTORICAL GOLF ASSOCIATION

Field Data
EIN 81-4358288
Case Number EO-2016323-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name S P JERMAIN HISTORICAL GOLF ASSOCIATION
Organization’s Mailing Address 7150 GRANITE CIRCLE
City TOLEDO
State OH
ZIP 43617
Accounting period End 12
Primary contact name CHARLES NIEHAUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES NIEHAUS
TRUSTEE
7544 PEACH TREE LANE
SYLVANIA OH 43560

Officer/Director/Trustee Two

CRAIG MANCINOTTI
TRUSTEE
2748 SPRING WATER DRIVE
TOLEDO OH 43617

Officer/Director/Trustee Three

MARK FRASCO
TRUSTEE
3500 CEDAR CREEK COURT
MAUMEE OH 43537

Officer/Director/Trustee Four

THOMAS GEIGER
TRUSTEE
320 RIVERSIDE DRIVE
ROSSFORD OH 43460

Officer/Director/Trustee Five

STEPHEN STAELIN
TRUSTEE
5534 SOUTH CITATION
TOLEDO OH 43615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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