FORM 1023-EZ for PUMPKIN PEDALER FOUNDATION INC

Field Data
EIN 47-4640310
Case Number EO-2016060-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUMPKIN PEDALER FOUNDATION INC
Organization’s Mailing Address PO BOX 16412
City COLUMBUS
State OH
ZIP 43216
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN WELLEN
PRESIDENT
5792 WIELERT AVE
CINCINNATI OH 45239

Officer/Director/Trustee Two

AMANDA BROFFORD
TREASURER
4033 WILLIAMSBURG CT
GROVE CITY OH 43123

Officer/Director/Trustee Three

MARCIA AMSTUTZ
SECRETARY
132 FOX HILL LANE
PERRYSBURG OH 43551

Officer/Director/Trustee Four

MEGANNE PICCIONE
DIRECTOR
2843 ACARIE DRIVE
COLUMBUS OH 43219

Officer/Director/Trustee Five

ELIZABETH BERKEMER
DIRECTOR
3052 JERSEY DRIVE
COLUMBUS OH 43204

Organization’s website WWW.PUMPKINPEDALER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations 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 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 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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