FORM 1023-EZ for COMMUNITY IN ACTION - LICKING COUNTY
| Field | Data |
|---|---|
| EIN | 82-5290945 |
| Case Number | EO-2019037-000739 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY IN ACTION - LICKING COUNTY |
| Organization’s Mailing Address | 975 MOUNT VERNON ROAD |
| City | NEWARK |
| State | OH |
| ZIP | 43055-4728 |
| Accounting period End | 12 |
| Primary contact name | CHRIS GARGUS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRIS GARGUS
BOARD CHAIRMAN
103 SWAINFORD DRIVE
HEATH OH 43056
Officer/Director/Trustee Two
DAVE LINN
BOARD VICE CHAIRMAN
346 CLINTON DRIVE
HEATH OH 43056
Officer/Director/Trustee Three
CASSIE OLIVER
BOARD SECRETARY
84 BENTON DRIVE
NEWARK OH 43055
Officer/Director/Trustee Four
SHELLEY BENNETT
BOARD TREASURER
10549 LAFAYETTE ROAD
JOHNSTOWN OH 43031
| Organization’s website | HTTPS://WWW.COMMUNITYINACTIONLICKINGCOUNTY.ORG/ |
|---|---|
| Organization’s email | INFO@COMMUNITYINACTIONLICKINGCOUNTY.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/10/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | CHRIS GARGUS |
| Signature Title | BOARD CHAIRMAN |
| Signature Date | 1/28/19 |
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