FORM 1023-EZ for ZACK SMITH FOUNDATION

Field Data
EIN 87-3060558
Case Number EO-2021294-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZACK SMITH FOUNDATION
Organization’s Mailing Address 6010 FULTONROSE ROAD
City ROSEVILLE
State OH
ZIP 43777
Accounting period End 12
Primary contact name KIMBERLY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY SMITH
PRESIDENT
6010 FULTONROSE ROAD
ROSEVILLE OH 43777

Officer/Director/Trustee Two

MEGAN SMITH
SECRETARY
8120 BUTCHERKNIFE ROAD
ROSEVILLE OH 43777

Officer/Director/Trustee Three

PAM MAHLE
TREASURER
3015 OPERA ROAD
MOUNT PERRY OH 43760

Officer/Director/Trustee Four

MITCH SMITH
COMMITTEE MEMBER
6010 FULTONROSE ROAD
ROSEVILLE OH 43777

Officer/Director/Trustee Five

KRISTOFER SMITH
COMMITTEE MEMBER
6010 FULTONROSE ROAD
ROSEVILLE OH 43777

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 KIMBERLY SMITH
Signature Title PRESIDENT
Signature Date 10/19/2021

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