FORM 1023-EZ for CLERMONT NORTHEASTERN EDUCATIONAL FOUNDATION

Field Data
EIN 47-1974208
Case Number EO-2014281-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLERMONT NORTHEASTERN EDUCATIONAL FOUNDATION
Organization’s Mailing Address 5100 STATE ROUTE 132
City OWENSVILLE
State OH
ZIP 45160
Accounting period End 12
Primary contact name CHRISTOPHER M HAMMOND ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS ZERHUSEN
DIRECTOR PRESIDENT
5482 BELFAST OWENSVILLE RD
BATAVIA OH 45103

Officer/Director/Trustee Two

ERIC BROWN
DIRECTOR VICE PRESIDENT
5476 BELFAST OWENSVILLE RD
BATAVIA OH 45103

Officer/Director/Trustee Three

DAVID HUFF
DIRECTOR SECRETARY
199 1/2 HANLEY LN
OWENSVILLE OH 45103

Officer/Director/Trustee Four

APRIL PRATHER
DIRECTOR TREASURER
2659 US HIGHWAY 50
BATAVIA OH 45103

Officer/Director/Trustee Five

STEPHANIE FAHRNBACK
DIRECTOR
1187 OHIO PIKE
AMELIA OH 45102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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