FORM 1023-EZ for MISS AGRICULTURE USA

Field Data
EIN 83-1225778
Case Number EO-2018222-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISS AGRICULTURE USA
Organization’s Mailing Address 5522 GOODELL RD
City MANTUA
State OH
ZIP 44255
Accounting period End 12
Primary contact name ZACHARY S ARNOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERTA GALLAGHER
DIRECTOR & PRESIDENT
5522 GOODELL RD
MANTUA OH 44255

Officer/Director/Trustee Two

STEPHEN ROHAL
DIRECTOR & TREASURER
3586 STROUP RD
ROOTSTOWN OH 44272

Officer/Director/Trustee Three

MARGIE PISCHERA
DIRECTOR & VICE PRESIDENT
7107 BROCKWAY AVE
BROOKFIELD OH 44403

Officer/Director/Trustee Four

CHARLENE ROHAL
DIRECTOR & SECRETARY
854 EAST AVE
TALLMADGE OH 44278

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 No
Correctness Declaration Yes
Signature Name ROBERTA GALLAGHER
Signature Title DIRECTOR & PRESIDENT
Signature Date 8/8/18

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