FORM 1023-EZ for AGAPE RIVER MISSION

Field Data
EIN 46-4570893
Case Number EO-2015005-000049
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGAPE RIVER MISSION
Organization’s Mailing Address 9399 BOOTH RD
City KIRTLAND
State OH
ZIP 44094
Accounting period End 12
Primary contact name YVETTE SEMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YVETTE SEMON
CHIEF EXECUTIVE OFFICER
9399 Booth Rd
Kirtland OH 44094

Officer/Director/Trustee Two

JERALD WILHITE
PRESIDENT/TREASURER
1133 3RD ST
MASSILLON OH 44646

Officer/Director/Trustee Three

ROSELLA GLODKOWSKI
BOARD MEMBER
7370 GREENFIELD TRAIL
CHESTERLAND OH 44026

Officer/Director/Trustee Four

AMY WAGNER
SECRETARY
472 VANDALIA DR
TALLMADGE OH 44278

Officer/Director/Trustee Five

YURI SEMENYUK
BOARD MEMBER
5 ENERGETIV ST
TIRASPOL, MOLDOVA

Organization’s website HTTPS://WWW.FACEBOOK.COM/AGAPERIVERMISSION
Organization’s email INFO@AGAPERIVERMISSION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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