FORM 1023-EZ for OHIO CAN CHANGE ADDICTIKON NOW

Field Data
EIN 82-5205372
Case Number EO-2018115-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OHIO CAN CHANGE ADDICTIKON NOW
Organization’s Mailing Address 2298 COMET CIRCLE NW
City NORTH CANTON
State OH
ZIP 44720
Accounting period End 12
Primary contact name ANNA ZSINKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY KOUMOUTZIS
EXECUTIVE DIRECTOR
2298 COMET CIRCLE NW
NORTH CANTON OH 44720

Officer/Director/Trustee Two

BRENDA HAMILTON
PRESIDENT
342 PIGEON ROAD
SALEM OH 44460

Officer/Director/Trustee Three

DAWN BOVA
VICE PRESIDENT
1681 CR302
BELLEVUE OH 44811

Officer/Director/Trustee Four

ANNA ZSINKO
TREASURER
7831 DIAGONAL ROAD
STREETSBORO OH 44141

Officer/Director/Trustee Five

CHRIS ZIEGLER
SECRETARY
3724 OAKVIEW DRIVE
GIRARD OH 44420

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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 ANNA ZSINKO
Signature Title TREASURER
Signature Date 4/23/18

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