FORM 1023-EZ for SALTVINE

Field Data
EIN 82-4667361
Case Number EO-2018120-000631
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALTVINE
Organization’s Mailing Address 58 RED BUD CIR
City AMELIA
State OH
ZIP 45102
Accounting period End 12
Primary contact name SHAWN YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE NEU
DIRECTOR
1036 SETON AVE APT 1
CINCINNATI OH 45205

Officer/Director/Trustee Two

KARI SIDERS
DIRECTOR
325 S JEFFERSON ST
SABINA OH 45169

Officer/Director/Trustee Three

MARY ALICE HAMILTON
DIRECTOR
650 6TH ST APT 6
BOWLING GREEN OH 43402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/16
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 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 KARI SIDERS
Signature Title DIRECTOR
Signature Date 4/27/18

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