FORM 1023-EZ for HEALTHCARE TECHNOLOGY MANAGEMENT ASSOCIATION OF OHIO

Field Data
EIN 82-2000773
Case Number EO-2018109-000551
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHCARE TECHNOLOGY MANAGEMENT ASSOCIATION OF OHIO
Organization’s Mailing Address PO BOX 298 201 S MARION ST
City CARDINGTON
State OH
ZIP 43315
Accounting period End 12
Primary contact name ANTHONY MCCABE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY MCCABE
TREASURER
3504 STATE ROUTE 529
CARDINGTON OH 43315

Officer/Director/Trustee Two

GLENN SCHNEIDER
PRESIDENT
6730 DANIELS WALK
CINCINNATI OH 45233

Officer/Director/Trustee Three

DOUG KIRSOP
VICE PRESIDENT
673 CHERRINGTON RD
WESTERVILLE OH 43081

Officer/Director/Trustee Four

TIRSA WORKMAN
SECRETARY
695 BROOKPARK RD
MARION OH 43302

Organization’s website WWW.HTMA-OH.ORG
Organization’s email HTMA.OH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 ANTHONY MCCABE
Signature Title TREASURER
Signature Date 4/17/18

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