FORM 1023-EZ for FRIENDS OF CASA OF DELAWARE AND UNION COUNTIES

Field Data
EIN 81-3023651
Case Number EO-2016187-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CASA OF DELAWARE AND UNION COUNTIES
Organization’s Mailing Address 140 N SANDUSKY ST
City D
State OH
ZIP 43015
Accounting period End 12
Primary contact name JONATHAN KLEMANSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL TUCKER
PRESIDENT
884 BRAUMILLER RD
DELAWARE OH 43015

Officer/Director/Trustee Two

DENA RUSSELL
VICE PRESIDENT
3769 COLUMBUS PIKE SUITE 130
DELAWARE OH 43015

Officer/Director/Trustee Three

JONATHAN KLEMANSKI
TREASURER
340 LAKE ST
DELAWARE OH 43015

Officer/Director/Trustee Four

KATHLEEN SEHNERT
SECRETARY
14601 STATE ROUTE 347
MARYSVILLE OH 43040

Officer/Director/Trustee Five

PATRICE CORDER
TRUSTEE
6720 MCCURDY RD
DELAWARE OH 43015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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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