FORM 1023-EZ for PROTECT STUDENT LEGACY

Field Data
EIN 81-4973900
Case Number EO-2017020-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROTECT STUDENT LEGACY
Organization’s Mailing Address PO BOX 361594
City STRONGSVILLE
State OH
ZIP 44136-0027
Accounting period End 12
Primary contact name MARK SLAVIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK SLAVIK
PRESIDENT
11615 RIVER MOSS ROAD
STRONGSVILLE OH 44136-3549

Officer/Director/Trustee Two

VIVIAN KIST
EXECUTIVE VICE PRESIDENT
4390 EAST CLIFF ROAD
PORT CLINTON OH 43452-9773

Officer/Director/Trustee Three

DAVE HOSTELLEY
CHIEF FINANCIAL OFFICER
9974 HUNTINGTON PARK DRIVE
STRONGSVILLE OH 44136-2516

Officer/Director/Trustee Four

ROBERT FOLINO
SECRETARY
11651 RIVER MOSS ROAD
STRONGSVILLE OH 44136-3549

Officer/Director/Trustee Five

KRIS LEWANDOSKI
VICE PRESIDENT
10455 BELL ROAD
NEWBURY OH 44065-9125

Organization’s website ENSURINGLEGACY.ORG
Organization’s email MARK.SLAVIK@ENSURINGLEGACY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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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