FORM 1023-EZ for BERNE UNION JUNIOR ATHLETIC ASSOCIATION

Field Data
EIN 83-4598076
Case Number EO-2019326-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERNE UNION JUNIOR ATHLETIC ASSOCIATION
Organization’s Mailing Address 28075 LOGAN HORNSMILL ROAD
City SUGAR GROVE
State OH
ZIP 43155-9613
Accounting period End 12
Primary contact name BRITTANY STEPHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIRADA MORELAND
OFFICER AND DIRECTOR
28075 LOGAN HORNSMILL ROAD
SUGAR GROVE OH 43155-9613

Officer/Director/Trustee Two

DISERAY MCMANIS
DIRECTOR
8990 CHILLICOTHE LANCASTER RD SW
AMANDA OH 43102-1150

Officer/Director/Trustee Three

CYNTHIA SAUNDERS
DIRECTOR
460 LORRAINE BLVD
PICKERINGTON OH 43147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
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: 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 MIRADA MORELAND
Signature Title OFFICER AND DIRECTOR
Signature Date 11/20/19

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