FORM 1023-EZ for NEIGHBORLINK MIAMI VALLEY INC

Field Data
EIN 83-4585614
Case Number EO-2019184-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEIGHBORLINK MIAMI VALLEY INC
Organization’s Mailing Address 7695 SOUTH COUNTY ROAD 25A
City TIPP CITY
State OH
ZIP 45371
Accounting period End 12
Primary contact name WILLIAM LUTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEWART SHECKLER
DIRECTOR
3009 SHAKERTOWN ROAD
BEAVERCREEK OH 45434

Officer/Director/Trustee Two

WILLIAM LUTZ
DIRECTOR
801 EAST FRANKLIN STREET
TROY OH 45373

Officer/Director/Trustee Three

DOUGLAS POWELL
DIRECTOR
5265 SOUTH PETERS ROAD
TIPP CITY OH 45371

Officer/Director/Trustee Four

KEVIN BEAVON
DIRECTOR
114 MARBROOK DRIVE
KETTERING OH 45429

Officer/Director/Trustee Five

ROBERT YANCEY
DIRECTOR
2659 STONEBRIDGE DRIVE
TROY OH 45373

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
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 WILLIAM LUTZ
Signature Title DIRECTOR
Signature Date 7/1/19

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