FORM 1023-EZ for OHIO AMERICAN ESKIMO RESCUE

Field Data
EIN 38-4001929
Case Number EO-2016211-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OHIO AMERICAN ESKIMO RESCUE
Organization’s Mailing Address 228 DEERSHADOW ROAD
City MAINEVILLE
State OH
ZIP 45039-9239
Accounting period End 12
Primary contact name ANNE MARIE GOLIAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE MARIE GOLIAS
FOUNDER/PRESIDENT
228 DEERSHADOW ROAD
MAINEVILLE OH 45039-9239

Officer/Director/Trustee Two

SUSAN CHITWOOD
CO-FOUNDER
1531 DAWNVIEW DRIVE
HENDERSONVILLE NC 28791-2219

Officer/Director/Trustee Three

KATHI CLAWSON
CO-FOUNDER
5489 WINDSOR COURT
SOUTH LEBANON OH 45065-5005

Officer/Director/Trustee Four

AMBER STAMMEN
CO-FOUNDER
3942 DARDEN DRIVE
BEAVERCREEK OH 45431-2302

Officer/Director/Trustee Five

CARLA BLOCKSON
CO-FOUNDER
379 EAST LINCOLN WAY
LIBSON OH 44432-1419

Organization’s website WWW.OHIOESKIERESCUE.COM
Organization’s email OHIOESKIERESCUE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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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