FORM 1023-EZ for HOCKEY DIVAS

Field Data
EIN 84-2802390
Case Number EO-2019262-000037
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOCKEY DIVAS
Organization’s Mailing Address 9948 WILKENS RUN RD NE
City NEWARK
State OH
ZIP 43055
Accounting period End 8
Primary contact name GERILYNN KLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERILYNN KLINE
PRESIDENT
9948 WILKENS RUN RD NE
NEWARK OH 43055

Officer/Director/Trustee Two

TINA WILLIAMSON
SECRETARY
7295 MARLAN AVE
REYNOLDSBURG OH 43068-1109

Officer/Director/Trustee Three

ANDREA WILLIAMS
MEMBER
7295 MARLAN AVE
REYNOLDSBURG OH 43068-1109

Officer/Director/Trustee Four

DOROTHY CLICKENGER
MEMBER
2151 W FAIR
LANCASTER OH 43130

Officer/Director/Trustee Five

MORGUN WHITE
MEMBER
7295 MARLAN AVE
REYNOLDSBURG OH 43068-1109

Organization’s website
Organization’s email HOCKEYDIVAS2019@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/19
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 TINA WILLIAMSON
Signature Title SECRETARY
Signature Date 9/17/19

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