FORM 1023-EZ for GEM OF THE HIGHLANDS 5K INC

Field Data
EIN 84-1820156
Case Number EO-2019142-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GEM OF THE HIGHLANDS 5K INC
Organization’s Mailing Address 123
City CINCINNATI
State OH
ZIP 45246
Accounting period End 4
Primary contact name ELLIOTT STAPLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN LEFEVRE
VICE PRESIDENT
2519 INDIAN MOUND AVE
CINCINNATI OH 45212

Officer/Director/Trustee Two

EMILY KATHRYN LINKOUS FRANZEN
TREASURER
4207 FOREST AVENUE
CINCINNATI OH 45212

Officer/Director/Trustee Three

JAMERIA CROWE
SECRETARY
4244 FLORAL AVE
CINCINNATI OH 45212

Officer/Director/Trustee Four

AMANDA SINCLAIR
PRESIDENT
4413 FLORAL AVE
CINCINNATI OH 45212

Officer/Director/Trustee Five

ELLIOTT STAPLETON
DIRECTOR
4432 BRAZEE STREET
CINCINNATI OH 45209

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 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 ELLIOTT STAPLETON
Signature Title DIRECTOR
Signature Date 5/20/19

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