FORM 1023-EZ for WARREN NEIGHBORHOOD INITIATIVE

Field Data
EIN 81-3499140
Case Number EO-2016354-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARREN NEIGHBORHOOD INITIATIVE
Organization’s Mailing Address 2039 MILTON ST SE
City WARREN
State OH
ZIP 44484
Accounting period End 8
Primary contact name DIRECTOR DANDRE BOWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANDRE BOWERS
CHAIRMAN EXECUTIVE DIRECTOR
2039 MILTON ST SE
WARREN OH 44484

Officer/Director/Trustee Two

PIERSON BUTCHER
OPERATIONS DIRECTOR
1566 HAZELWOOD AVE SE
WARREN OH 44484

Officer/Director/Trustee Three

ANDREA TALBOTT
PROGRAM DIRECTOR
140 AMY PLACE
CORTLAND OH 44410

Officer/Director/Trustee Four

WAYNE DABELKO
CONSTRUCTION MANAGER
123 MAIN ST
CORTLAND OH 44410

Officer/Director/Trustee Five

DANIEL POLIVKA
ASSISTANT CONSTRUCTION MANAGER
160 COUNTRY CLUB BLVD
WARREN OH 44484

Organization’s website WNIPRIDE.ORG
Organization’s email CEO@WNIPRIDE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
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: 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 Yes
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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