FORM 1023-EZ for LIBERTY PARK LITTLE LEAGUE

Field Data
EIN 84-3294947
Case Number EO-2019297-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY PARK LITTLE LEAGUE
Organization’s Mailing Address 7661 OAKRIDGE ROAD
City HILLSBORO
State OH
ZIP 45133
Accounting period End 12
Primary contact name KERRI MOOTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRI MOOTZ
VICE PRESIDENT
7661 OAKRIDGE ROAD
HILLSBORO OH 45133

Officer/Director/Trustee Two

HEATHER LEATHLEY
PRESIDENT
6528 GEORGE AVENUE
HILLSBORO OH 45133

Officer/Director/Trustee Three

TIFFANI ADKINS
SECRETARY
109 VAUGHN AVENUE
HILLSBORO OH 45133

Organization’s website
Organization’s email KERRI.MOOTZ@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 KERRI MOOTZ
Signature Title VICE PRESIDENT
Signature Date 10/22/19

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