FORM 1023-EZ for EMERGE EMANCIPATION PROGRAM

Field Data
EIN 87-0896370
Case Number EO-2021152-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMERGE EMANCIPATION PROGRAM
Organization’s Mailing Address 2960 WEST ENON ROAD
City XENIA
State OH
ZIP 45385
Accounting period End 12
Primary contact name CARL LUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL LUX
DIRECTOR
1985 RED ROBIN DRIVE S
XENIA OH 45385-9803

Officer/Director/Trustee Two

HOWARD MORRIS
DIRECTOR
1700 WILBERFORCE CLIFTON ROAD
XENIA OH 45385-9440

Officer/Director/Trustee Three

DOUG VAN DYKE
DIRECTOR
6344 WEBSTER STREET
DAYTON OH 45414-2605

Officer/Director/Trustee Four

CHRIS ADAMS
DIRECTOR
1505 SPRING VALLEY PAINTERVILLE RD
SPRING VALLEY OH 45370-8788

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARL LUX
Signature Title DIRECTOR
Signature Date 5/27/2021

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