FORM 1023-EZ for SOV ORD OF ST JOHN OF JERUSALEM KNIGHTS HOSPITALLER - PRIORY NE USA

Field Data
EIN 83-0578442
Case Number EO-2018174-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOV ORD OF ST JOHN OF JERUSALEM KNIGHTS HOSPITALLER - PRIORY NE USA
Organization’s Mailing Address 6300 COLDSTREAM DR
City HIGHLAND HGTS
State OH
ZIP 44143-3704
Accounting period End 12
Primary contact name AMIE L VANOVER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANET MILLER
PRES., SEC. AND DIRECTOR
6300 COLDSTREAM DR
HIGHLAND HGTS OH 44143-3704

Officer/Director/Trustee Two

MARIA COYNE
TREASURER AND DIRECTOR
18801 SHELBURNE RD
SHAKER HGTS OH 44118

Officer/Director/Trustee Three

ANN PAGE
VICE PRESIDENT AND DIRECTOR
P O BOX 67
MCLEAN VA 22101

Officer/Director/Trustee Four

ALEXANDER MACHASKEE
VICE PRESIDENT AND DIRECTOR
25330 PENSHURST DR
BEACHWOOD OH 44122

Officer/Director/Trustee Five

ROBERT SMITH
DIRECTOR
29270 HAMPSHIRE PL
WESTLAKE OH 44145

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 JANET MILLER
Signature Title PRES., SEC. AND DIRECTOR
Signature Date 6/20/18

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