FORM 1023-EZ for MANSFIELD MAKERSPACE

Field Data
EIN 81-4189561
Case Number EO-2016348-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MANSFIELD MAKERSPACE
Organization’s Mailing Address 3109 CRIMSON RD
City MANSFIELD
State OH
ZIP 44903
Accounting period End 12
Primary contact name NATHAN GROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN GROSS
PRESIDENT
3109 CRIMSON ROAD
MANSFIELD OH 44903

Officer/Director/Trustee Two

TRACY GRAZIANI
TREASURER
296 HAMPTON ROAD
LEXINGTON OH 44904

Officer/Director/Trustee Three

CAMERON HARING
VICE PRESIDENT
1827 ALTA WEST ROAD
MANSFIELD OH 44903

Officer/Director/Trustee Four

LUKE BEEKMAN
SECRETARY
90 NORTH DIAMOND STREET
MANSFIELD OH 44902

Officer/Director/Trustee Five

JORDAN KVOCHICK
BOARD MEMBER
72 1/2 MAIN STREET
BELLVILLE OH 44813

Organization’s website WWW.MANSFIELDMAKERSPACE.ORG
Organization’s email NRGFAB@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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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