FORM 1023-EZ for CENTRAL OHIO PENTECOSTAL YOUTH CAMP

Field Data
EIN 82-2300430
Case Number EO-2017212-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL OHIO PENTECOSTAL YOUTH CAMP
Organization’s Mailing Address 5990 MICHAEL ROAD
City MIDDLETOWN
State OH
ZIP 45042
Accounting period End 12
Primary contact name JEREMY MCKINNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY MCKINNEY
DIRECTOR
1526 WEST NORTH STREET
SPRINGFIELD OH 45504

Officer/Director/Trustee Two

ANDREW MCPHERSON
DIRECTOR
2851 JONROSE AVE
CINCINNATTI OH 45239

Officer/Director/Trustee Three

DENZEL MCKINNEY
BOARD MEMBER
1572 UPLANDS DRIVE
SPRINGFIELD OH 45506

Officer/Director/Trustee Four

JOHN RICE
BOARD MEMBER
6345 DOG LEG ROAD
DAYTON OH 45415

Officer/Director/Trustee Five

JASON KING
BOARD MEMBER
2501 RAMONA LN
FAIRFIELD OH 45014

Organization’s website WWW.COPY-C.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
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 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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