FORM 1023-EZ for RESTORE COOLVILLE

Field Data
EIN 82-4811159
Case Number EO-2018096-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORE COOLVILLE
Organization’s Mailing Address PO BOX 55
City COOLVILLE
State OH
ZIP 45723
Accounting period End 12
Primary contact name ANNIE BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNIE BURKE
VICE PRESIDENT
PO BOX 73
HOCKINGPORT OH 45739

Officer/Director/Trustee Two

MICHAEL SIMMONS
PRESIDENT
PO BOX 117
COOLVILLE OH 45723

Officer/Director/Trustee Three

MARY MITCHELL
BOARD
13725 DUTCH RIDGE ROAD
ATHENS OH 45701

Officer/Director/Trustee Four

LISA CAUSEY
SECRETARY
27054 GILLILAN HUBBARD ROAD
COOLVILLE OH 45723

Officer/Director/Trustee Five

PAM BENTZ
TREASURER
PO BOX 245
COOLVILLE OH 45723

Organization’s website WWW.RESTORECOOLVILLE.ORG
Organization’s email RESTORECOOLVILLE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 ANNIE BURKE
Signature Title VICE PRESIDENT
Signature Date 4/4/18

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