FORM 1023-EZ for THOMAS F MEDORS FOUNDATION

Field Data
EIN 82-0892233
Case Number EO-2017082-000456
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THOMAS F MEDORS FOUNDATION
Organization’s Mailing Address 481 HEATHERHILL RD
City WHITEHALL
State OH
ZIP 43213
Accounting period End 12
Primary contact name NANCY MEDORS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY MEDORS
PRESIDENT
481 HEATHERHILL RD
WHITEHALL OH 43213

Officer/Director/Trustee Two

JESSICA LAUGHLIN
SECRETARY
481 HEATHERHILL RD
WHITEHALL OH 43213

Officer/Director/Trustee Three

THOMAS D MEDORS
TREASURER
481 HEATHERHILL RD
WHITEHALL OH 43213

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2017
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: 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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