FORM 1023-EZ for SEGA HEART OF LEADERSHIP FOUNDATION

Field Data
EIN 82-1275963
Case Number EO-2017263-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEGA HEART OF LEADERSHIP FOUNDATION
Organization’s Mailing Address 1628 CARDIFF ROAD
City COLUMBUS
State OH
ZIP 43221
Accounting period End 12
Primary contact name JENNIFER MONROE-SEGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MONROE
VICE PRESIDENT
2016 MARLOW AVENUE
LAKEWOOD OH 44107

Officer/Director/Trustee Two

ADAM TEACH
SECRETARY
5936 MCINNIS ROAD
DUBLIN OH 43016

Officer/Director/Trustee Three

MEGAN BACHELDER
TREASURER
3028 WILDFLOWER TRAIL
DUBLIN OH 43017

Officer/Director/Trustee Four

JENNIFER MONROE-SEGA
PRESIDENT
1628 CARDIFF ROAD
COLUMBUS OH 43221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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
Signature Title
Signature Date

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