FORM 1023-EZ for FOURTH STREET LIMA STANDS TOGETHER INC

Field Data
EIN 82-2570546
Case Number EO-2017318-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOURTH STREET LIMA STANDS TOGETHER INC
Organization’s Mailing Address 122 WEST 4TH STREET
City LIMA
State OH
ZIP 45804
Accounting period End 12
Primary contact name NATHAN MADISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN MADISON
PRESIDENT-CEO
2786 HOLLYHOCK AVENUE
LIMA OH 45807

Officer/Director/Trustee Two

VINCENT NAPIER
BOARD MEMBER
1637 VICTORIA LANE
LIMA OH 45805

Officer/Director/Trustee Three

RICHARD HARRIS
BOARD MEMBER
259 EAST HANTHORN ROAD
LIMA OH 45804

Officer/Director/Trustee Four

JEROME MATCHEM
BOARD MEMBER
1735 TAHOE PLACE
LIMA OH 45805

Officer/Director/Trustee Five

WILLIAM BROWN
BOARD MEMBER
1408 CEDAR STREET
LIMA OH 45804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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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