FORM 1023-EZ for BETTER PLACES FOUNDATION

Field Data
EIN 47-4846661
Case Number EO-2015273-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETTER PLACES FOUNDATION
Organization’s Mailing Address 2526 CORNWALL DR
City XENIA
State OH
ZIP 45385-4117
Accounting period End 12
Primary contact name MIKE MCCORMICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE MCCORMICK
CHIEF EXECUTIVE OFFICER
2526 CORNWALL DR
XENIA OH 45385-4117

Officer/Director/Trustee Two

GARY DEAN
CHIEF OPERATIONS OFFICER
433 ROCKHILL DR
KETTERING OH 45429-2627

Officer/Director/Trustee Three

GARY PIOVESAN
CHIEF FINANCIAL OFFICER
1474 DEERLAND ST
DAYTON OH 45432-3408

Organization’s website
Organization’s email MMCORMICK3@WOH.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
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: Yes
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 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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