FORM 1023-EZ for OHIO LADY LASERS GRAY 07

Field Data
EIN 82-2511928
Case Number EO-2017235-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OHIO LADY LASERS GRAY 07
Organization’s Mailing Address 9356 BOWMAN RD SW
City AMANDA
State OH
ZIP 43102
Accounting period End 12
Primary contact name JEFF ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY ROBINSON
PRESIDENT
9356 BOWMAN RD SW
AMANDA OH 43102

Officer/Director/Trustee Two

JASON CORNELIUS
VICE PRESIDENT
7319 HOLDERMAN ST
LEWIS CENTER OH 43035

Officer/Director/Trustee Three

LORI HALLOWS
TREASURER
8405 TWIN CREEK DR
WAYNESVILLE OH 45068

Officer/Director/Trustee Four

YARA CULLEN
SECRETARY
974 STANDLEY RD
DEFIANCE OH 43512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2017
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: 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 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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