FORM 1023-EZ for EMPATHY SURPLUS PROJECT FOUNDATION

Field Data
EIN 84-4965307
Case Number EO-2020076-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPATHY SURPLUS PROJECT FOUNDATION
Organization’s Mailing Address 1665 WEST MAIN STREET
City WILMINGTON
State OH
ZIP 45177
Accounting period End 12
Primary contact name ANN CHARLES WATTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES WATTS
DIRECTOR, PRESIDENT
4113 W STATE ROUTE 73
WILMINGTON OH 45177

Officer/Director/Trustee Two

ANITA LEWIS
DIRECTOR, SECRETARY
691 S ALPHA BELLBROOK ROAD
SUGARCREEK TOWNSHIP OH 45305

Officer/Director/Trustee Three

MIRIAM SPATE
DIRECTOR, TREASURER
40 S WEBB ROAD
WILMINGTON OH 45177

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
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 CHARLES WATTS
Signature Title DIRECTOR, PRESIDENT
Signature Date 3/12/2020

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