FORM 1023-EZ for CARROLL FOOTBALL LETTERMAN CLUB

Field Data
EIN 81-1586062
Case Number EO-2016312-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARROLL FOOTBALL LETTERMAN CLUB
Organization’s Mailing Address 334 GROVE AVE
City CINCINNATI
State OH
ZIP 45215
Accounting period End 12
Primary contact name NICK BARTLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM NORBUT
PRESIDENT
334 GROVE AVE
CINCINNATI OH 45215

Officer/Director/Trustee Two

NICK BARTLETT
TREASURER
404 GOLD LEAF AVE
VANDALIA OH 45377

Officer/Director/Trustee Three

MIKE BEREDA
VICE PRESIDENT
3146 BUGLE BLUFF DRIVE
BELLBROOK OH 45305

Organization’s website WWW.CARROLLLETTERMANCLUB.COM
Organization’s email NBARTLETT@CARROLLLETTERMANCLUB.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2016
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 No
One Third Support Gifts Yes
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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