FORM 1023-EZ for OHIO REBELS BASKETBALL CLUB

Field Data
EIN 81-1800595
Case Number EO-2017088-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OHIO REBELS BASKETBALL CLUB
Organization’s Mailing Address 237 OAKWOOD DRIVE
City MANSFIELD
State OH
ZIP 44906
Accounting period End 8
Primary contact name JOHN BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BROOKS
PRESIDENT
237 OAKWOOD DRIVE
MANSFIELD OH 44905

Officer/Director/Trustee Two

RYAN AU
VICE PRESIDENT
923 COUNTRY CLUB DRIVE
MANSFIELD OH 44907

Officer/Director/Trustee Three

JORDAN YOKEM
SECRETARY
122 EAST COOK ROAD
MANSFIELD OH 44907

Officer/Director/Trustee Four

PAMELA WHITE
TREASURER
64 GIBSON AVENUE
MANSFIELD OH 44903

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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