FORM 1023-EZ for UNIQUE CLUB SCHOLARSHIP FOUNDATION

Field Data
EIN 34-1773322
Case Number EO-2015155-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIQUE CLUB SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 1828 BRAMBLEBUSH NW
City MASSILLON
State OH
ZIP 44646
Accounting period End 12
Primary contact name MICHAEL A ZICCARDI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL ZICCARDI
OFFICER
1828 BRAMBLEBUSH NW
MASSILLON OH 44646

Officer/Director/Trustee Two

SAM DORTO
PRESIDENT
415 33RD ST NW
CANTON OH 44709

Officer/Director/Trustee Three

BEN STOFFER
TRUSTEE
1241 SHAWN CIR
LOUSIVILLE OH 44641

Officer/Director/Trustee Four

RICHARD MOECIA
SECRETARY
2918 OLYMPIA NW
CANTON OH 44708

Officer/Director/Trustee Five

JAMES HODINKA
TRUSTEE
234 SARATOGA NW
CANTON OH 44708

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1957
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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