FORM 1023-EZ for IGNITING A SPARK TO PREVENT SUICIDEINC

Field Data
EIN 84-4636744
Case Number EO-2021141-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IGNITING A SPARK TO PREVENT SUICIDEINC
Organization’s Mailing Address 5471 GILBERT ROAD
City CENTERBURG
State OH
ZIP 43011
Accounting period End 12
Primary contact name ANESSA HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANESSA HILL
PRESIDENT
5471 GILBERT ROAD
CENTERBURG OH 43011

Officer/Director/Trustee Two

ALICIA BRENNEMAN
VICE PRESIDENT
825 CO 204 ROAD
CENTERBURG OH 43011

Officer/Director/Trustee Three

DEBORAH SKEENS
TREASURER
13505 HARTFORD ROAD
SUNBURY OH 43074

Officer/Director/Trustee Four

MELANIE MUELLER
SECRETARY
111 BUR REED ROAD
DELAWARE OH 43015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANESSA HILL
Signature Title PRESIDENT
Signature Date 5/15/2021

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