FORM 1023-EZ for DWELL AT THE BELL

Field Data
EIN 81-2480166
Case Number EO-2016127-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DWELL AT THE BELL
Organization’s Mailing Address 1175 ALLISON RD
City BELLEFONTAINE
State OH
ZIP 43311
Accounting period End 12
Primary contact name MATTHEW WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW WILLIS
PRESIDENT/TREASURER
1175 ALLISON RD
BELLEFONTAINE OH 43311

Officer/Director/Trustee Two

JUSTIN DUNN
VICE PRESIDENT/OPERATIONS OFFICER
7194 COUNTY ROAD 62
DEGRAFF OH 43318

Organization’s website WWW.DWELLATTHEBELL.COM
Organization’s email MATTDAWILLIS@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: Yes
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 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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