FORM 1023-EZ for OHIO SYNCHRONIZED SWIMMING ASSOCIATION

Field Data
EIN 83-3397887
Case Number EO-2019050-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OHIO SYNCHRONIZED SWIMMING ASSOCIATION
Organization’s Mailing Address 2297 VILLAGEWOOD CT
City MIAMISBURG
State OH
ZIP 45342
Accounting period End 9
Primary contact name MARY KAY ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY KAY ADAMS
CHAIRPERSON
2297 VILLAGEWOOD CT
MIAMISBURG OH 45342

Officer/Director/Trustee Two

VIRGINIA JASONTEK
EDUCATION CHAIR
1201 RETSWOOD DR
LOVELAND OH 45140

Officer/Director/Trustee Three

DENISE SHIVELY
TECHNICAL CHAIR
177 JUNIPER AVE
WESTERVILLE OH 43081

Officer/Director/Trustee Four

ANNA FARMER
OFFICIAL CHAIR
RR 1 BOX 223
BREMEN OH 43107

Officer/Director/Trustee Five

LIENEKE KEIHL
SECRETARY
4888 HARLOU DR
DAYTON OH 45432

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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 MARY KAY ADAMS
Signature Title CHAIRPERSON
Signature Date 2/14/19

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