FORM 1023-EZ for EASTERN WAYNE COMMUNITY ORGANIZATION

Field Data
EIN 86-3928990
Case Number EO-2021141-000610
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTERN WAYNE COMMUNITY ORGANIZATION
Organization’s Mailing Address 19 SOUTH MAIN STREET
City MARSHALLVILLE
State OH
ZIP 44645
Accounting period End 12
Primary contact name ELLIOT LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLIOT LEE
VICE PRESIDENT
3432 BRIGADOON CIRCLE
DALTON OH 44618

Officer/Director/Trustee Two

BRANDON JOHNSTON
PRESIDENT
212 N SUNSET STREET
ORRVILLE OH 44667

Officer/Director/Trustee Three

ARDETA ROMANCHIK
SECRETARY TREASURER
8 EUCLID STREET
MARSHALLVILLE OH 44645

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELLIOT LEE
Signature Title VICE PRESIDENT
Signature Date 5/18/2021

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