FORM 1023-EZ for MIAMI VALLEY URBAN APPALACHIANAWARENESS AND INTERVENTION

Field Data
EIN 84-1767955
Case Number EO-2019137-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIAMI VALLEY URBAN APPALACHIANAWARENESS AND INTERVENTION
Organization’s Mailing Address 2713 CENTRAL AVE
City MIDDLETOWN
State OH
ZIP 45044-4851
Accounting period End 12
Primary contact name WAYNE ESSEX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMALA DISNEY
PRESIDENT
2713 CENTRAL AVE
MIDDLETOWN OH 45044-4851

Officer/Director/Trustee Two

DREW DISNEY
VICE PRESIDENT
1132 E RAGLAND AVE
KINGSVILLE TX 78363-6466

Officer/Director/Trustee Three

ANGELA BOWLING
TREASURER
1913 FAWNS CREEK CROSSING
MT JULIET TN 37122-1229

Officer/Director/Trustee Four

JOEL MCLAUGHLIN
SECRETARY
2362 N LIMESTONE ST NUMBER 1
SPRINGFIELD OH 45503-1102

Officer/Director/Trustee Five

TIM BOWLING
COMMUNITY ADVISOR
2300 JOSHUA CT
MIDDLETOWN OH 45044-8831

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 TAMALA DISNEY
Signature Title PRESIDENT
Signature Date 5/15/19
EIN 84-1767955
Case Number EO-2019137-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIAMI VALLEY URBAN APPALACHIAN AWARENESS AND INTERVENTION
Organization’s Mailing Address 2713 CENTRAL AVE
City MIDDLETOWN
State OH
ZIP 45044-4851
Accounting period End 12
Primary contact name WAYNE ESSEX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMALA DISNEY
PRESIDENT
2713 CENTRAL AVE
MIDDLETOWN OH 45044-4851

Officer/Director/Trustee Two

DREW DISNEY
VICE PRESIDENT
1132 E RAGLAND AVE
KINGSVILLE TX 78363-6466

Officer/Director/Trustee Three

ANGELA BOWLING
TREASURER
1913 FAWNS CREEK CROSSING
MT JULIET TN 37122-1229

Officer/Director/Trustee Four

JOEL MCLAUGHLIN
SECRETARY
2362 N LIMESTONE ST NUMBER 1
SPRINGFIELD OH 45503-1102

Officer/Director/Trustee Five

TIM BOWLING
COMMUNITY ADVISOR
2300 JOSHUA CT
MIDDLETOWN OH 45044-8831

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 TAMALA DISNEY
Signature Title PRESIDENT
Signature Date 5/15/19

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