FORM 1023-EZ for GEAUGA FAITH RESCUE MISSION INC

Field Data
EIN 47-1982740
Case Number EO-2014293-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GEAUGA FAITH RESCUE MISSION INC
Organization’s Mailing Address 11838 OLD STATE ROAD
City CHARDON
State OH
ZIP 44024
Accounting period End 12
Primary contact name DENNIS WYNNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL FARRELL
DIRECTOR - PRESIDENT
11838 OLD STATE ROAD
CHARDON OH 44024

Officer/Director/Trustee Two

JOHN PARK
DIRECTOR
13660 HALL ROAD
CHARDON OH 44024

Officer/Director/Trustee Three

DAVID TVERGYAK
DIRECTOR - VICE PRESIDENT
16404 HART ROAD
MONTVILLE OH 44064

Officer/Director/Trustee Four

BRENT HUFFMAN
DIRECTOR - TREASURER
14120 MAYFIELD ROAD
HUNTSBURG OH 44406

Officer/Director/Trustee Five

JONATHAN TIBER
DIRECTOR - SECRETARY
13047 CLARIDON-TROY ROAD
CHARDON OH 44024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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