FORM 1023-EZ for OHIO LIBRARY SUPPORT STAFF INSTITUTE

Field Data
EIN 47-3423421
Case Number EO-2015301-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OHIO LIBRARY SUPPORT STAFF INSTITUTE
Organization’s Mailing Address 777 BULLE ROAD
City SIDNEY
State OH
ZIP 45365
Accounting period End 12
Primary contact name PAUL HEINTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL BRADSHAW
CHAIR
65 FRONT STREET FLOOR 12
COLUMBUS OH 43215

Officer/Director/Trustee Two

TAYNA KIMMET-ELLENBERG
SECRETARY
3640 COLONEL GLENN HWY DIGITAL SERV
DAYTON OH 45435

Officer/Director/Trustee Three

PAUL HEINTZ
TREASURER
777 BULLE ROAD
SIDNEY OH 45365

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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
Signature Title
Signature Date

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