FORM 1023-EZ for AWARENESS 22 INC

Field Data
EIN 83-2664537
Case Number EO-2019035-000648
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AWARENESS 22 INC
Organization’s Mailing Address 8017 S STATE ROUTE 67
City SYCAMORE
State OH
ZIP 44882
Accounting period End 12
Primary contact name MATT ORIANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN VANHOOSIER
PRESIDENT
8017 S STATE ROUTE 67
SYCAMORE OH 44882

Officer/Director/Trustee Two

TAMMY VANHOOSIER
SECRETARY/TREASURER/VP
8017 S STATE ROUTE 67
SYCAMORE OH 44882

Officer/Director/Trustee Three

JON CAITO
ASSISTANT DIRECTOR
8017 S STATE ROUTE 67
SYCAMORE OH 44882

Officer/Director/Trustee Four

KATINA STEINMETZ
DIRECTOR
8017 S STATE ROUTE 67
SYCAMORE OH 44882

Officer/Director/Trustee Five

TEENA LOHR
STAFF ADVIISOR
8017 S STATE ROUTE 67
SYCAMORE OH 44882

Organization’s website WWW.AWARENESS22.COM
Organization’s email KEVINVANHOOSIER9@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 KEVIN VANHOOSIER
Signature Title PRESIDENT
Signature Date 1/12/19

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