FORM 1023-EZ for BERLIN ELLSWORTH ATHLETIC BOOSTERS

Field Data
EIN 34-1689645
Case Number EO-2018193-000489
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERLIN ELLSWORTH ATHLETIC BOOSTERS
Organization’s Mailing Address 13850 W AKRON CANFIELD RD
City BERLIN CENTER
State OH
ZIP 44401-9752
Accounting period End 12
Primary contact name TAMMY LEONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY LEONE
TREASURE
13850 W AKRON CANFIELD RD
BERLIN CENTER OH 44401-9752

Officer/Director/Trustee Two

JASMINE HENNING
PRESIDENT
13850 W AKRIN CANFIELD
BERLIN CENTER OH 44401-9752

Officer/Director/Trustee Three

KRISTEN STAFFERY
VICE PRESIDENT
13850 W AKRON CANFIELD RD
BERLIN CENTER OH 44401-9752

Officer/Director/Trustee Four

ANGELA JAVORSKY
SECRETARY
13850 W AKRON CANFIELD RD
BERLIN CENTER OH 44401-9752

Officer/Director/Trustee Five

ANGIE RAMSEY
PROTEMP
13850 W AKRON CANFIELD RD
BERLIN CENTER OH 44401-9752

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/86
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY LEONE
Signature Title TREASURE
Signature Date 7/10/18

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