FORM 1023-EZ for CLINTONVILLE BASKETBALL ASSOCIATION

Field Data
EIN 83-0863630
Case Number EO-2019343-000504
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLINTONVILLE BASKETBALL ASSOCIATION
Organization’s Mailing Address 4302 INGHAM AVE
City COLUMBUS
State OH
ZIP 43214
Accounting period End 12
Primary contact name LOU JANNAZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY COLBY
PRES
4354 WETMORE RD E
COLUMBUS OH 43224

Officer/Director/Trustee Two

BILL STUART
TREAS
5316 ACEVEDO CT
COLUMBUS OH 43235

Officer/Director/Trustee Three

LOU JANNAZO
SEC
4302 INGHAM AVE
COLUMBUS OH 43214

Officer/Director/Trustee Four

MELISSA ROMERO
BOARD MEMBER
555 S KELLNER RD
COLUMBUS OH 43209

Officer/Director/Trustee Five

RICK SLOCUM
BOARD MEMBER
225 NORTHRIDGE RD
COLUMBUS OH 43214

Organization’s website CLINTONVILLEBASKETBALL.COM
Organization’s email JANNAZO@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2018
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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 LOU JANNAZO
Signature Title SEC
Signature Date 12/6/2019

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