FORM 1023-EZ for DESTINATION WHITEHOUSE INC

Field Data
EIN 81-0712071
Case Number EO-2015344-000484
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DESTINATION WHITEHOUSE INC
Organization’s Mailing Address 6729 PROVIDENCE STREET P O BOX 257
City WHITEHOUSE
State OH
ZIP 43571
Accounting period End 12
Primary contact name LOUANN ARTIAGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROB CASALETTA
PRESIDENT
6701 BLUE CREEK E
WHITEHOUSE OH 43571

Officer/Director/Trustee Two

DAVID PRUETER
VICE PRESIDENT
10104 SADDLE BRIDGE DR N
WHITEHOUSE OH 43571

Officer/Director/Trustee Three

SUE MILLER
SECRETARY
11750 WATERVILLE STREET
WHITEHOUSE OH 43571

Officer/Director/Trustee Four

LOUANN ARTIAGA
TREASURER
6729 PROVIDENCE STREET
WHITEHOUSE OH 43571

Officer/Director/Trustee Five

BEA LUDWIG
TRUSTEE
6729 DENNISON DR
WHITEHOUSE OH 43571

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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