FORM 1023-EZ for BASS SMITH CONNECTION

Field Data
EIN 47-5374826
Case Number EO-2015299-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BASS SMITH CONNECTION
Organization’s Mailing Address 115 WELLS DR
City SPRINGBORO
State OH
ZIP 45066
Accounting period End 12
Primary contact name WYNETTE CARTER-SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WYNETTE CARTER-SMITH
PRESIDENT, DIRECTOR
115 WELLS DR
SPRINGBORO OH 45066

Officer/Director/Trustee Two

SHARON EVANS
SECRETARY, DIRECTOR
3033 LINMUTH DR E
SPRINGFIELD OH 45503

Officer/Director/Trustee Three

SUNNA BASS
TREASURER, DIRECTOR
3495 SAYBROOK DR
SPRINGFIELD OH 45505

Officer/Director/Trustee Four

SHEILA RICE
DIRECTOR
1703 LONGVIEW AVE
SPRINGFIELD OH 45503

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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