FORM 1023-EZ for FRIENDS OF 5137 INC

Field Data
EIN 47-5567329
Case Number EO-2015320-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF 5137 INC
Organization’s Mailing Address PO BOX 2075
City MEDINA
State OH
ZIP 44258
Accounting period End 12
Primary contact name JILL MICHALSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JILL MICHALSKI
CHAIRMAN
6101 TRIPLE CROWN DRIVE
MEDINA OH 44256

Officer/Director/Trustee Two

STEVE HULVEY
PRESIDENT
3043 GRANGER ROAD
MEDINA OH 44256

Officer/Director/Trustee Three

SCOTT DEIGHTON
VICE PRESIDENT
320 BELLA ROSA COURT
MEDINA OH 44256

Officer/Director/Trustee Four

JENNIFER ANDERSON
SECRETARY
3998 DEER LAKE DRIVE
MEDINA OH 44256

Officer/Director/Trustee Five

CHRIS ROJAS
TREASURER
632 SOVEREIGN
MEDINA OH 44256

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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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