FORM 1023-EZ for MEDINA PICKLEBALL ASSOCIATION
| Field | Data |
|---|---|
| EIN | 87-2320565 |
| Case Number | EO-2021245-000364 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MEDINA PICKLEBALL ASSOCIATION |
| Organization’s Mailing Address | 2970 YOST RD |
| City | LITCHFIELD |
| State | OH |
| ZIP | 44253 |
| Accounting period End | 12 |
| Primary contact name | LARRY TRASE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LARRY TRASE
PRESIDENT
2970 YOST RD
LITCHFIELD OH 44253
Officer/Director/Trustee Two
TOM CIHLAR
VICE PRESIDENT
2970 YOST RD
LITCHFIELD OH 44253
Officer/Director/Trustee Three
KAREN LARY
TREASURER
2970 YOST RD
LITCHFIELD OH 44253
Officer/Director/Trustee Four
TOM BRUCKMAN
SECRETARY
2970 YOST RD
LITCHFIELD OH 44253
Officer/Director/Trustee Five
KEITH BAILEY
MEMBER AT LARGE
2970 YOST RD
LITCHFIELD OH 44253
| Organization’s website | WWW.MEDINAPB.ORG |
|---|---|
| Organization’s email | INFO@MEDINAPB.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/23/2021 |
| 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: 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 | LARRY TRASE |
| Signature Title | PRESIDENT |
| Signature Date | 8/31/2021 |
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