FORM 1023-EZ for NORTH CENTRAL OHIO PHARMACISTS ASSOCIATION

Field Data
EIN 30-0989401
Case Number EO-2017150-000457
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH CENTRAL OHIO PHARMACISTS ASSOCIATION
Organization’s Mailing Address 1448 BROOKPARK DR
City MANSFIELD
State OH
ZIP 44906
Accounting period End 12
Primary contact name TIMOTHY DENIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY DENIS
PRESIDENT
88 RAMBLESIDE DR
MANSFIELD OH 44907

Officer/Director/Trustee Two

MICHAEL BING
VICE PRESIDENT
3918 ANDERSON RD
BELLVILLE OH 44813

Officer/Director/Trustee Three

RAYMOND GALUZNY
SECRETARY
1448 BROOKPARK DR
MANSFIELD OH 44906

Officer/Director/Trustee Four

KATHY HISTED
TREASURER
8 CROWN DR
MARBLEHEAD OH 43440

Officer/Director/Trustee Five

BRIAN GALUZNY
WEBMASTER
120 BRETON DR
LEXINGTON OH 44904

Organization’s website HTTPS://NCOPA.ORG
Organization’s email NCOPARX@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/1964
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: Yes
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
Signature Title
Signature Date

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