FORM 1023-EZ for FAIRBANKS STEM ALLIANCE

Field Data
EIN 84-5070188
Case Number EO-2020073-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRBANKS STEM ALLIANCE
Organization’s Mailing Address 11158 STATE ROUTE 38
City MILFORD CENTER
State OH
ZIP 43045
Accounting period End 12
Primary contact name TIM BELMONTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM BELMONTE
ORGANIZER
14480 BELLEPOINTE ROAD
MARYSVILLE OH 43040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
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 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 TIM BELMONTE
Signature Title ORGANIZER
Signature Date 3/11/2020

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