FORM 1023-EZ for LANCAST SOAP BOX DERBY INC

Field Data
EIN 31-0976406
Case Number EO-2015208-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANCAST SOAP BOX DERBY INC
Organization’s Mailing Address 1040 SECOND STREET
City LANCASTER
State OH
ZIP 43130
Accounting period End 12
Primary contact name ANDREW DUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW DUM
DERBY DIRECTOR
1040 SECOND STREET
LANCASTER OH 43130

Officer/Director/Trustee Two

TOM CLARK
PRESIDENT
1010 SECOND STREET
LANCASTER OH 43130

Officer/Director/Trustee Three

JAMIE ALLEN
VICE PRESIDENT
321 MT ZION ROAD
LANCASTER OH 43130

Officer/Director/Trustee Four

MELONIE HUNT
SECRETARY
3905 SAVAGE HILL RD
SURGAR GROVE OH 43155

Officer/Director/Trustee Five

TRACY ALLEN
TREASURE
321 MT ZION ROAD
LANCASTER OH 43130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/1959
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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