FORM 1023-EZ for FATHERHOOD COLLABORATIVE OF HAMILTON COUNTY

Field Data
EIN 81-2366970
Case Number EO-2016132-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FATHERHOOD COLLABORATIVE OF HAMILTON COUNTY
Organization’s Mailing Address 2859 LANGDON FARM RD
City CINCINNATI
State OH
ZIP 45212
Accounting period End 12
Primary contact name MICHAEL PATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAROLD HOWARD
MR.
4315 DELRIDGE DR
C OH 45205

Officer/Director/Trustee Two

JUWANA HALL
MS.
11548 ROSE LN
CINCINNATI OH 45246

Officer/Director/Trustee Three

MICHAEL PATTON
MR.
2859 LANGDON FARM
CINCINNATI OH 45212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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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