FORM 1023-EZ for SCIOTO MENS CROSS COUNTRY BOOSTER

Field Data
EIN 38-3820022
Case Number EO-2019273-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCIOTO MENS CROSS COUNTRY BOOSTER
Organization’s Mailing Address 7652 SAWMILL RD SUITE 222
City DUBLIN
State OH
ZIP 43016
Accounting period End 6
Primary contact name JACQUELINE RAABE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT PAGE
PRESIDENT
7638 KELLY DR
DUBLIN OH 43016

Officer/Director/Trustee Two

SHARAY SYED
VICE PRESIDEDNT
3138 GRANGE HILL PL
DUBLIN OH 43017

Officer/Director/Trustee Three

ERICA ABFALTER
SECRETARY
3222 RIVERSIDE GREEN DR
DUBLIN OH 43017

Officer/Director/Trustee Four

JACQUELINE RAABE
TREASURER
2527 SONNINGTON DR
DUBLIN OH 43016

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/10
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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 JACQUELINE RAABE
Signature Title TREASURER
Signature Date 9/26/19

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