FORM 1023-EZ for CHOMP MINISTRIES

Field Data
EIN 81-1388728
Case Number EO-2016127-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHOMP MINISTRIES
Organization’s Mailing Address 18381 ZOLMAN ROAD
City FREDERICKTOWN
State OH
ZIP 43019
Accounting period End 12
Primary contact name CLINTON BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH SPRINGER
DIRECTOR, PRESIDENT
18381 ZOLMAN ROAD
FREDERICKTOWN OH 43019

Officer/Director/Trustee Two

JASON JOHNSON
DIRECTOR, VICE-PRESIDENT
18381 ZOLMAN ROAD
FREDERICKTOWN OH 43019

Officer/Director/Trustee Three

JEFFRY HARRIS
DIRECTOR, SECRETARY
18381 ZOLMAN ROAD
FREDERICKTOWN OH 43019

Officer/Director/Trustee Four

SALLY KERWOOD
DIRECTOR, TREASURER
18381 ZOLMAN ROAD
FREDERICKTOWN OH 43019

Officer/Director/Trustee Five

KEVIN LAUTH
DIRECTOR
18381 ZOLMAN ROAD
FREDERICKTOWN OH 43019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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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