FORM 1023-EZ for MAKE A DIFFERENCE CLUB INC

Field Data
EIN 82-3564926
Case Number EO-2021033-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAKE A DIFFERENCE CLUB INC
Organization’s Mailing Address 15400 PEARL ROAD SUITE 200
City STRONGSVILLE
State OH
ZIP 44136
Accounting period End 12
Primary contact name TIMOTHY WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MADISON WAGNER
EXECUTIVE DIRECTOR
18990 WALNUT DRIVE
STRONGSVILLE OH 44149

Officer/Director/Trustee Two

LAURA WAGNER
DIRECTOR
18990 WALNUT DRIVE
STRONGSVILLE OH 44149

Officer/Director/Trustee Three

TIMOTHY WAGNER
DIRECTOR
18990 WALNUT DRIVE
STRONGSVILLE OH 44149

Officer/Director/Trustee Four

ROBERT STEPHEN
DIRECTOR
6521 CROSS CREEK TRAIL
BRECKSVILLE OH 44141

Organization’s website WWW.MAKEADIFFERENCECLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIMOTHY WAGNER
Signature Title DIRECTOR
Signature Date 12/14/2020
EIN 82-3564926
Case Number EO-2019288-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAKE A DIFFERENCE CLUB INC
Organization’s Mailing Address PO BOX 360345
City STRONGSVILLE
State OH
ZIP 44149
Accounting period End 12
Primary contact name KEVIN SCHADICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MADISON WAGNER
EXECUTIVE DIRECTOR
18990 WALNUT DRIVE
STRONGSVILLE OH 44149

Officer/Director/Trustee Two

LAURA WAGNER
DIRECTOR
18990 WALNUT DRIVE
STRONGSVILLE OH 44149

Officer/Director/Trustee Three

TIMOTHY WAGNER
DIRECTOR
18990 WALNUT DRIVE
STRONGSVILLE OH 44149

Officer/Director/Trustee Four

ROBERT STEPHEN MORRIS
DIRECTOR
6521 CROSS CREEK TRAIL
BRECKSVILLE OH 44141

Organization’s website WWW.MAKEADIFFERENCECLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
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 LAURA WAGNER
Signature Title DIRECTOR
Signature Date 10/11/19

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