FORM 1023-EZ for LITTLE FORK THE SOUTHWEST OHIO REGIONAL FAMILY ADVOCACY CENTER INC

Field Data
EIN 82-1519377
Case Number EO-2021065-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE FORK THE SOUTHWEST OHIO REGIONAL FAMILY ADVOCACY CENTER INC
Organization’s Mailing Address 2908 VICTORIA AVE
City CINCINNATI
State OH
ZIP 45208
Accounting period End 6
Primary contact name SCOTT OREILLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT ROBERTSON
CHAIRMAN
2908 VICTORIA AVE
CINCINNATI OH 45208

Officer/Director/Trustee Two

JEFF LYKINS
VICE CHAIRMAN
2908 VICTORIA AVE
CINCINNATI OH 45208

Officer/Director/Trustee Three

MONICA BRADDOCK
TREASURER
2908 VICTORIA AVE
CINCINNATI OH 45208

Officer/Director/Trustee Four

LAURA STITH
SECRETARY
2908 VICTORIA AVE
CINCINNATI OH 45208

Officer/Director/Trustee Five

SCOTT OREILLY
PRESIDENT
2908 VICTORIA AVE
CINCINNATI OH 45208

Organization’s website HTTPS://LITTLEFORKFAMILYAC.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
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 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 SCOTT OREILLY
Signature Title PRESIDENT
Signature Date 1/15/2021

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