FORM 1023-EZ for PROSOCIAL SUPPER CLUB INC

Field Data
EIN 85-1581502
Case Number EO-2020252-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROSOCIAL SUPPER CLUB INC
Organization’s Mailing Address 4340 NORMANDY AVENUE
City CINCINNATI
State OH
ZIP 45227
Accounting period End 12
Primary contact name INDIKA EKANAYAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

INDIKA EKANAYAKE
PRESIDENT/TREASURER
4340 NORMANDY AVENUE
CINCINNATI OH 45227

Officer/Director/Trustee Two

JESSICA EKANAYAKE
SECRETARY
4340 NORMANDY AVENUE
CINCINNATI OH 45227

Officer/Director/Trustee Three

DYLAN KOUTSKY
BOARD MEMBER/DIRECTOR
1802 N 54TH STREET UNIT B
SEATTLE WA 98103

Officer/Director/Trustee Four

ARMAND SHAHBAZIAN
BOARD MEMBER/DIRECTOR
2102 187TH AVENUE NE
REDMOND WA 98052

Officer/Director/Trustee Five

JESSICA DELISIO
BOARD MEMBER/DIRECTOR
2512 MOORMAN AVENUE
CINCINNATI OH 45206

Organization’s website
Organization’s email INDI.EKANAYAKE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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 INDIKA EKANAYAKE
Signature Title PRESIDENT/TREASURER
Signature Date 9/3/2020

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