FORM 1023-EZ for MIAMI COUNTY FOOD INSECURITY ALLIANCE INC

Field Data
EIN 85-1726492
Case Number EO-2020191-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIAMI COUNTY FOOD INSECURITY ALLIANCE INC
Organization’s Mailing Address 7695 SOUTH COUNTY ROAD 25-A
City TIPP CITY
State OH
ZIP 45371
Accounting period End 12
Primary contact name WILLIAM LUTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM LUTZ
DIRECTOR
801 EAST FRANKLIN STREET
TROY OH 45373

Officer/Director/Trustee Two

ALISHA BARTON
VICE-PRESIDENT
740 CHELSEA LANE
TIPP CITY OH 45371

Officer/Director/Trustee Three

AIMEE SHANNON
PRESIDENT
1560 WINDRIDGE PLACE APT D
TROY OH 45373

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 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 Yes
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 WILLIAM LUTZ
Signature Title DIRECTOR
Signature Date 7/7/2020

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