FORM 1023-EZ for OHIO PHYSICAL THERAPIST ASSISTANT EDUCATORS CONSORTIUM

Field Data
EIN 38-4016072
Case Number EO-2017205-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OHIO PHYSICAL THERAPIST ASSISTANT EDUCATORS CONSORTIUM
Organization’s Mailing Address 5386 COURSEVIEW DR
City MASON
State OH
ZIP 45458-2842
Accounting period End 6
Primary contact name JAMES CROPPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI WAHL
CHAIRPERSON
1555 NEWARK RD
ZANESVILLE OH 43701

Officer/Director/Trustee Two

BRUCE WASSUNG
VICE CHAIRPERSON
2830 NAPOLEON RD
FREMONT OH 43420

Officer/Director/Trustee Three

JAMES CROPPER
TREASURER
5386 COURSEVIEW DR
MASON OH 45040-2362

Officer/Director/Trustee Four

DANA MATT
SECRETARY
570 E LEFFEL LN
SPRINGFIELD OH 45505

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/1999
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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
Signature Title
Signature Date

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