FORM 1023-EZ for T-BOLT TRIBE INC

Field Data
EIN 83-1915202
Case Number EO-2019126-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name T-BOLT TRIBE INC
Organization’s Mailing Address 4810 NATIONAL ROAD
City CLAYTON
State OH
ZIP 45315-9714
Accounting period End 12
Primary contact name BETH POTEET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH POTEET
PRESIDENT
5390 S RANGELINE ROAD
WEST MILTON OH 45383

Officer/Director/Trustee Two

NICOLE PRESLEY
VICE PRESIDENT
613 N MAIN STREET
UNION OH 45322-3384

Officer/Director/Trustee Three

STACY PIERCE-GREEN
SECRETARY
413 RANKIN DRIVE
ENGLEWOOD OH 45322

Officer/Director/Trustee Four

TARA HENRY
TREASURER
1100 TAYWOOD RD APT 10
ENGLEWOOD OH 45322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
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 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 BETH POTEET
Signature Title PRESIDENT
Signature Date 5/2/19

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