FORM 1023-EZ for SENECA COUNTY PROJECT LIFESAVER

Field Data
EIN 37-1817076
Case Number EO-2017032-000036
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENECA COUNTY PROJECT LIFESAVER
Organization’s Mailing Address 4871 S TOWNSHIP ROAD 197
City ATTICA
State OH
ZIP 44807
Accounting period End 12
Primary contact name CYNTHIA BEAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA BEAT
CHAIRMAN, BOARD OF DIRECTORS
4871 S TOWNSHIP ROAD 197
ATTICA OH 44807

Officer/Director/Trustee Two

ROBERT SWARTZMILLER
VICE-CHAIRMAN
656 N ELM ST
BASCOM OH 44809

Officer/Director/Trustee Three

CONNIE COLE
SECRETARY
166 E COUNTY ROAD 16
TIFFIN OH 44883

Officer/Director/Trustee Four

BONNIE HULL
TREASURER
7251 N COUNTY ROAD 33
TIFFIN OH 44883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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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