FORM 1023-EZ for ALLERGIES SHAPED MY LIFE
| Field | Data |
|---|---|
| EIN | 85-2317562 |
| Case Number | EO-2020218-000384 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ALLERGIES SHAPED MY LIFE |
| Organization’s Mailing Address | 1263 HAYMARKET WAY |
| City | HUDSON |
| State | OH |
| ZIP | 44236 |
| Accounting period End | 12 |
| Primary contact name | GIORDANA MARIE KOUTAVAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GIORDANA KOUTAVAS
PRESIDENT; CHIEF EXECUTIVE OFFICER
1263 HAYMARKET WAY
HUDSON OH 44236
Officer/Director/Trustee Two
DIANE KOUTAVAS
VP, PRODUCT MANAGEMENT; SECRETARY
1263 HAYMARKET WAY
HUDSON OH 44236
Officer/Director/Trustee Three
GERALD KOUTAVAS
VP, FINANCE STRATEGIST; TREASURER
1263 HAYMARKET WAY
HUDSON OH 44236
Officer/Director/Trustee Four
NICKOLAS KOUTAVAS
VP, INNOVATION
10806 RESERVOIR DRIVE
MANTUA OH 44255
| Organization’s website | |
|---|---|
| Organization’s email | GIORDANAKOUTAVAS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/26/2020 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K40 - Nutrition Programs |
| 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 | 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 | GIORDANA KOUTAVAS |
| Signature Title | PRESIDENT; CHIEF EXECUTIVE OFFICER |
| Signature Date | 8/3/2020 |
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