FORM 1023-EZ for INNER PEACE CORP

Field Data
EIN 82-5118133
Case Number EO-2019224-000536
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INNER PEACE CORP
Organization’s Mailing Address 9300 MAUMEE WESTERN ROAD
City MONCLOVA
State OH
ZIP 43542
Accounting period End 12
Primary contact name DR JERRY BOOSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR JERRY BOOSE
PRESIDENT-CEO
9300 MAUMEE WESTERN ROAD
MONCLOVA OH 43542

Officer/Director/Trustee Two

KENNETH JACKSON
VICE PRESIDENT
4937 SAN JOAQUN DRIVE
TOLEDO OH 43615

Officer/Director/Trustee Three

WENDI HUNTLEY
BOARD MEMBER
1145 STEEPLECHASE CIRCLE
TOLEDO OH 43615

Officer/Director/Trustee Four

TERRANCE OUNDS
BOARD MEMBER
7331 SIOUX TRAIL
HOLLAND OH 43528

Officer/Director/Trustee Five

REGINA TILMAN
BOARD MEMBER
9600 FRANKFORT ROAD
HOLLAND OH 43528

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 DR JERRY BOOSE
Signature Title PRESIDENT-CEO
Signature Date 8/9/19

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