FORM 1023-EZ for EXPERIENCES INC
| Field | Data |
|---|---|
| EIN | 87-1490840 |
| Case Number | EO-2021200-000541 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EXPERIENCES INC |
| Organization’s Mailing Address | 3750 E BROAD ST UNIT 13056 |
| City | COLUMBUS |
| State | OH |
| ZIP | 43213 |
| Accounting period End | 12 |
| Primary contact name | JASON D TERRELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LORI BROWN
OFFICER
6073 FALLA DRIVE
CANAL WINCHESTER OH 43110
Officer/Director/Trustee Two
MONICA BUTLER
OFFICER
3827 WINDING TWIG DRIVE
CANAL WINCHESTER OH 43110
Officer/Director/Trustee Three
CHERYL COOK
OFFICER
4140 APPIAN WAY COURT APT J
GAHANNA OH 43230
Officer/Director/Trustee Four
JASON TERRELL
DIRECTOR
755 HAYDEN AVENUE
AKRON OH 44320
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/1/2021 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | JASON TERRELL |
| Signature Title | DIRECTOR |
| Signature Date | 7/16/2021 |
| EIN | 87-1490840 |
| Case Number | EO-2021200-000541 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EXPERIENCES INC |
| Organization’s Mailing Address | 3750 E BROAD ST UNIT 13056 |
| City | COLUMBUS |
| State | OH |
| ZIP | 43213 |
| Accounting period End | 12 |
| Primary contact name | JASON D TERRELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LORI BROWN
OFFICER
6073 FALLA DRIVE
CANAL WINCHESTER OH 43110
Officer/Director/Trustee Two
MONICA BUTLER
OFFICER
3827 WINDING TWIG DRIVE
CANAL WINCHESTER OH 43110
Officer/Director/Trustee Three
CHERYL COOK
OFFICER
4140 APPIAN WAY COURT APT J
GAHANNA OH 43230
Officer/Director/Trustee Four
JASON TERRELL
DIRECTOR
755 HAYDEN AVENUE
AKRON OH 44320
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/1/2021 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | JASON TERRELL |
| Signature Title | DIRECTOR |
| Signature Date | 7/16/2021 |
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