FORM 1023-EZ for ICC REGION V

Field Data
EIN 83-4706716
Case Number EO-2019186-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ICC REGION V
Organization’s Mailing Address 401 ROBINWOOD AVENUE
City WHITEHALL
State OH
ZIP 43213-1752
Accounting period End 12
Primary contact name JAMES STOCKSDALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES STOCKSDALE
PRESIDENT
401 ROBINWOOD AVENUE
WHITEHALL OH 43213-1752

Officer/Director/Trustee Two

PAUL FEATHERSTON
1ST VICE PRESIDENT
640 BYRON
PLYMOUTH MI 48170

Officer/Director/Trustee Three

RENEE SNODGRASS
SECRETARY
2189 ENTRADA DRIVE
BEAVERCREEK OH 45431-3009

Officer/Director/Trustee Four

FRANK WALLACE
TREASURER
7645 BROWN ROAD
MADISONVILLE KY 42431

Officer/Director/Trustee Five

JAMES STRAWS
2ND VICE PRESIDENT
754 THORNAPPLE COURT
COLUMBIA CITY IN 46725-7402

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES STOCKSDALE
Signature Title PRESIDENT
Signature Date 7/2/19

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