FORM 1023-EZ for ASHTABULA DISTANCE RUNNERS CLUB INC

Field Data
EIN 47-1745045
Case Number EO-2016055-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASHTABULA DISTANCE RUNNERS CLUB INC
Organization’s Mailing Address 1814 W 4TH STREET
City ASHTABULA
State OH
ZIP 44004
Accounting period End 12
Primary contact name RONALD SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WARREN DILLAWAY
PRESIDENT
1814 W 4TH STREET
ASHTABULA OH 44004

Officer/Director/Trustee Two

STACY STEVENSON
VICE PRESIDENT
683 SEVEN HILLS ROAD
ASHTABULA OH 44004

Officer/Director/Trustee Three

DANIEL LOOSE
TREASURER
3306 LINCOLN DRIVE
ASHTABULA OH 44004

Officer/Director/Trustee Four

JOHN HUTCHINSON
SECRETARY
100 EDGEWOOD DRIVE
CONNEUAT OH 44004

Officer/Director/Trustee Five

STEPHANIE CORLEW
AT LARGE MEMBER
2419 W 11TH STREET
ASHTABULA OH 44004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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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