FORM 1023-EZ for THE COMMUNITY CENTER OF POLAND INC

Field Data
EIN 87-1335408
Case Number EO-2021231-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COMMUNITY CENTER OF POLAND INC
Organization’s Mailing Address 421 S MAIN ST
City POLAND
State OH
ZIP 44514-2065
Accounting period End 12
Primary contact name SCOTT C ESSAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL MOFFIE
PRESIDENT
421 S MAIN ST
POLAND OH 44514-2065

Officer/Director/Trustee Two

ROBERT MASTRIANA
VICE PRESIDENT
34 BOTSFORD
POLAND OH 44514-1755

Officer/Director/Trustee Three

ELIZABETH WYMER
SECRETARY-TREASURER
7159 OAK DR
POLAND OH 44514-3765

Officer/Director/Trustee Four

DAVID SMITH
DIRECTOR
320 N MAIN ST
POLAND OH 44514-1663

Officer/Director/Trustee Five

PATRICIA WANANT
DIRECTOR
19 MICHIGAN
POLAND OH 44514-1919

Organization’s website NA
Organization’s email UEL0409@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 SAMUEL MOFFIE
Signature Title PRESIDENT
Signature Date 8/17/2021

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