FORM 1023-EZ for SECOND SIGHT PROJECT INC

Field Data
EIN 47-4203287
Case Number EO-2015197-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SECOND SIGHT PROJECT INC
Organization’s Mailing Address 18403 SLOANE AVE
City LAKEWOOD
State OH
ZIP 44107-3112
Accounting period End 5
Primary contact name MONA GAZALA SOLYMOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MONA GAZALA SOLYMOS
DIRECTOR
18403 SLOANE AVE
LAKEWOOD OH 44107-3112

Officer/Director/Trustee Two

RUTH BURKE
BOARD MEMBER
583 EAST TULANE RD
COLUMBUS OH 43202-2255

Officer/Director/Trustee Three

DAVID RYAN
BOARD MEMBER
4020 FAIRFAX DR
COLUMBUS OH 43220

Officer/Director/Trustee Four

PATRICK ROBERTS
BOARD MEMBER
1009 MCKINLEY
COLUMBUS OH 43222

Organization’s website HTTP://WWW.SECONDSIGHTFRANKLINTON.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
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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