FORM 1023-EZ for ELMHURST ATHLETIC ASSOCIATION

Field Data
EIN 47-1892701
Case Number EO-2015014-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELMHURST ATHLETIC ASSOCIATION
Organization’s Mailing Address 4152 DRUMMOND RD
City TOLEDO
State OH
ZIP 43613
Accounting period End 12
Primary contact name MARK PAWLACZYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK PAWLACZYK
PRESIDENT
4152 DRUMMOND RD
TOLEDO OH 43613

Officer/Director/Trustee Two

BRIAN BEE
SECRETARY
2530 WESTBROOK RD
TOLEDO OH 43613

Officer/Director/Trustee Three

JULIE LETIZIA
TREASURER
3156 MAXWELL RD
TOLEDO OH 43613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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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