FORM 1023-EZ for TBE

Field Data
EIN 84-3627824
Case Number EO-2020024-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TBE
Organization’s Mailing Address 325 HOLT STREET
City DAYTON
State OH
ZIP 45402-6334
Accounting period End 12
Primary contact name WILLIAM PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM PERRY
FOUNDER
325 HOLT ST
DAYTON OH 45402-6334

Officer/Director/Trustee Two

SENITA CUNNINGHAM
DIRECTOR
1023 MEADOW THRUSH DRIVE
CLAYTON OH 45315-8723

Officer/Director/Trustee Three

VICTOR PEAGLER
DIRECTOR
51 EAST SPRINGVALLEY PIKE
CENTERVILLE OH 45458-3801

Organization’s website
Organization’s email TEAMBLAZEELITE718@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2019
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: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM PERRY
Signature Title FOUNDER
Signature Date 1/22/2020

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