FORM 1023-EZ for PETTISVILLE MAN CAVE MINISTRIES

Field Data
EIN 82-2428390
Case Number EO-2017256-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETTISVILLE MAN CAVE MINISTRIES
Organization’s Mailing Address 3937 CR 19
City ARCHBOLD
State OH
ZIP 43502
Accounting period End 4
Primary contact name RICK GRABER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT RUPP
PRESIDENT
3937 CR 19
ARCHBOLD OH 43502

Officer/Director/Trustee Two

JOSH SCHRAMM
TREASURER
324 NORTH POINTE DRIVE
ARCHBOLD OH 43502

Officer/Director/Trustee Three

WILBUR HINTON
CHAIR PERSON
728 S SHOOP AVENUE
WAUSEON OH 43567

Officer/Director/Trustee Four

BRIAN HULBERT
CHAIR PERSON
20130 CR D
ARCHBOLD OH 43502

Officer/Director/Trustee Five

RICK GRABER
CHAIR PERSON
5069 CR 19
WAUSEON OH 43567

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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