FORM 1023-EZ for CAMP COMMON GROUND

Field Data
EIN 34-1435349
Case Number EO-2014307-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP COMMON GROUND
Organization’s Mailing Address 5104 CR 159
City FOREST
State OH
ZIP 45843
Accounting period End 12
Primary contact name SAMANTHA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE CRAMER
PRESIDENT
416 N MARKET ST
KENTON OH 43326

Officer/Director/Trustee Two

GREGG KING
SECRETARY
5104 CR 159
FOREST OH 45843

Officer/Director/Trustee Three

SAMANTHA KING
TREASURER
5104 CR 159
FOREST OH 45843

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/1912
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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