FORM 1023-EZ for MID-STATE HEAT TRAVEL BASEBALL

Field Data
EIN 46-3694521
Case Number EO-2014300-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID-STATE HEAT TRAVEL BASEBALL
Organization’s Mailing Address 2955 CO RD 25 N
City BELLEFONTAINE
State OH
ZIP 43311
Accounting period End 12
Primary contact name JENNIFER MCKENRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARLEN ROOSE
PRES
6886 CR 277
EAST LIBERY OH 43319

Officer/Director/Trustee Two

JEREMY BURREY
V PRES
PO BOX 22
ZANESFIELD OH 43360

Officer/Director/Trustee Three

MARY BETH ROOSE
SEC
6886 CR 277
EAST LIBERTY OH 43319

Officer/Director/Trustee Four

JENNIFER MCKENRICK
TREAS
2955CR 25 N
BELLEFONTAINE OH 43311

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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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