FORM 1023-EZ for WESTPARK ATHLETIC CLUB

Field Data
EIN 86-2641632
Case Number EO-2021097-001602
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTPARK ATHLETIC CLUB
Organization’s Mailing Address 17125 AMBER DRIVE
City CLEVELAND
State OH
ZIP 44111
Accounting period End 12
Primary contact name MARK NEITZEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK NEITZEL
NON PROFIT CEO
17125 AMBER DRIVE
CLEVELAND OH 44111

Officer/Director/Trustee Two

JEAN BERGER
NON PROFIT COO
15400 FISCHER
CLEVELAND OH 44111

Officer/Director/Trustee Three

MARTIN LENTZ
NON PROFIT DIRECTOR
4016 RIVEREDGE
CLEVELAND OH 44111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
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: Yes
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 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 MARK NEITZEL
Signature Title NON PROFIT CEO
Signature Date 3/17/2021

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