FORM 1023-EZ for LADY RAIDER DIAMOND CLUB

Field Data
EIN 83-2398971
Case Number EO-2018310-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY RAIDER DIAMOND CLUB
Organization’s Mailing Address PO BOX 411
City REYNOLDSBURG
State OH
ZIP 43068
Accounting period End 12
Primary contact name DAVID PEARCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY RETTKE
REGISTERED AGENT
6616 FORRESTER WAY
REYNOLDSBURG OH 43068

Officer/Director/Trustee Two

MICHELLE BARRY
PRESIDENT
1282 HANSON STREET
REYNOLDSBURG OH 43068

Officer/Director/Trustee Three

DAVID PEARCE
VICE PRESIDENT
787 TATRA COURT
REYNOLDSBURG OH 43068

Organization’s website
Organization’s email LADYRAIDERDIAMONDCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
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: 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 DAVID PEARCE
Signature Title VICE PRESIDENT
Signature Date 11/4/18

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