FORM 1023-EZ for MINERVA AREA COMMUNITY CHARITABLE TRUST ASSOCIATION

Field Data
EIN 20-1907464
Case Number EO-2015026-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINERVA AREA COMMUNITY CHARITABLE TRUST ASSOCIATION
Organization’s Mailing Address 201 NORTH MARKET STREET
City MINERVA
State OH
ZIP 44657
Accounting period End 12
Primary contact name ROBERT CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT CLARK
PRESIDENT
201 NORTH MARKET STREET
MINERVA OH 44657

Officer/Director/Trustee Two

ROGER BARTLEY
VICE PRESIDENT
512 RIDGELEIGH DRIVE
MINERVA OH 44657

Officer/Director/Trustee Three

DENISE FREELAND
SECRETARY TREASURER
203 NORTH MARKET STREET
MINERVA OH 44657

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2004
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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