FORM 1023-EZ for SOCIETY OF ST VINCENT DEPAUL IMMACULATE CONCEPTION CHURCH

Field Data
EIN 90-0736510
Case Number EO-2015050-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCIETY OF ST VINCENT DEPAUL IMMACULATE CONCEPTION CHURCH
Organization’s Mailing Address 231 E CENTER STREET
City BELLEVUE
State OH
ZIP 44811
Accounting period End 9
Primary contact name JEAN SCHAFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE ROTH
PRESIDENT
735 VALLEYVIEW DRIVE
BELLEVUE OH 44811

Officer/Director/Trustee Two

NANCY MATZ
SECRETARY
156 WALNUT STREET
BELLEVUE OH 44811

Officer/Director/Trustee Three

EDWARD MAAS
TREASURER
360 SOUTH CO RD 294
CLYDE OH 43410

Officer/Director/Trustee Four

DONN ROSPERT
VICE PRESIDENT
134 FRIEDLEY AVE
BELLEVUE OH 44811

Officer/Director/Trustee Five

JEAN SCHAFER
TRUSTEE
822 EST MAIN STREET
BELLEVUE OH 44811

Organization’s website
Organization’s email JSCHAFER@ICBELL.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2010
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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