FORM 1023-EZ for BROOKPARK ELITE ROLLERS

Field Data
EIN 82-2567232
Case Number EO-2018022-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKPARK ELITE ROLLERS
Organization’s Mailing Address 13445 BROOKPARK ROAD
City BROOKPARK
State OH
ZIP 44122
Accounting period End 12
Primary contact name TAMMY TOPPINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIRGINIA CASSANO
TREASURER
6321 ALMONT DR
BROOKPARK OH 44142

Officer/Director/Trustee Two

TRENT BRADNAN
PRESIDENT
630 COLUMBIA ROAD
VALLEY CITY OH 44280

Officer/Director/Trustee Three

TAMMY DEL VALLIE
SECRETARY
6669 PARMA PARK BLVD
PARMA HTS OH 44129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 VIRGINIA CASSANO
Signature Title TREASURER
Signature Date 1/18/18

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