FORM 1023-EZ for THE DESERT ISLAND

Field Data
EIN 31-1059041
Case Number EO-2016190-000022
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE DESERT ISLAND
Organization’s Mailing Address 501 JOSEPHINE AVENUE
City COLUMBUS
State OH
ZIP 43204
Accounting period End 10
Primary contact name JACK COHAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK COHAGEN
CO-CHAIRMIN
863 CHERLYN COURT
COLUMBUS OH 43228

Officer/Director/Trustee Two

KEVIN PHILLIPS
CO-CHAIRMIN
2638 IMPERIAL WAY
GROVE CITY OH 43123

Officer/Director/Trustee Three

JEFF ADAMS
TRUSTEE
701 ROTH AVENUE
COLUMBUS OH 43228

Officer/Director/Trustee Four

HAROLD BATTON
TRUSTEE
228 CERILE LANE
COLUMBUS OH 43226

Officer/Director/Trustee Five

PAT FOLEY
TRUSTEE
2945 PALMETTO AVENUE
COLUMBUS OH 43204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/1982
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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