FORM 1023-EZ for PERRYSBURG SPIRIT OF SERVING INC

Field Data
EIN 82-2760344
Case Number EO-2017275-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERRYSBURG SPIRIT OF SERVING INC
Organization’s Mailing Address 943 STONE CREEK CT
City PERRYSBURG
State OH
ZIP 43551
Accounting period End 12
Primary contact name JAMES POLLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES POLLOCK
PRESIDENT
943 STONE CREEK CT
PERRYSBURG OH 43551

Officer/Director/Trustee Two

PATRICK PAULE
VICE PRESIDENT
571 DELAWARE
PERRYSBURG OH 43551

Officer/Director/Trustee Three

STEPHANIE SCHNEIDER-SIMS
SECRETARY
451 MALLARD
PERRYSBURG OH 43551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 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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