FORM 1023-EZ for OPEN ARMS FOUNDATION

Field Data
EIN 84-2778191
Case Number EO-2019238-000528
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPEN ARMS FOUNDATION
Organization’s Mailing Address 293 TOWNSHIP RD 350
City SULLIVAN
State OH
ZIP 44880
Accounting period End 12
Primary contact name JACLYN MCIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACLYN MCIE
PRESIDENT, DIRECTOR
293 TOWNSHIP RD 350
SULLIVAN OH 44880

Officer/Director/Trustee Two

ALYSIA ROGERS
SECRETARY, DIRECTOR
1045 N JEFFERSON ST UNIT E
MEDINA OH 44256

Officer/Director/Trustee Three

JADE HALL
TREASURER, DIRECTOR
610 HIGHLAND DR
LODI OH 44254

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 JACLYN MCIE
Signature Title PRESIDENT, DIRECTOR
Signature Date 8/23/19

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