FORM 1023-EZ for CORNERSTONE ACADEMY ATHLETIC DEPARTMENT

Field Data
EIN 85-3694660
Case Number EO-2021120-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORNERSTONE ACADEMY ATHLETIC DEPARTMENT
Organization’s Mailing Address 6015 E WALNUT STREET
City WESTERVILLE
State OH
ZIP 43081
Accounting period End 6
Primary contact name CARMELO MATEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMELO MATEO
ATHLETIC DIRECTOR
6015 E WALNUT STREET
WESTERVILLE OH 43081

Officer/Director/Trustee Two

MATTHEW COKER
BOARD MEMBER
6015 E WALNUT STREET
WESTERVILLE OH 43081

Officer/Director/Trustee Three

STACI JOHNSON
BOARD MEMBER
6015 E WALNUT STREET
WESTERVILLE OH 43081

Officer/Director/Trustee Four

LINDSEY SCOTT
BOARD MEMBER
6015 E WALNUT STREET
WESTERVILLE OH 43081

Organization’s website
Organization’s email CORNERSTONEWOLFPACKAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2020
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: 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 CARMELO MATEO
Signature Title ATHLETIC DIRECTOR
Signature Date 4/28/2021

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