FORM 1023-EZ for ABBAS CHILD GRIEF SUPPORT INC

Field Data
EIN 83-3329312
Case Number EO-2020295-000671
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ABBAS CHILD GRIEF SUPPORT INC
Organization’s Mailing Address 6077 FAR HILLS AVE 222
City CENTERVILLE
State OH
ZIP 45459
Accounting period End 12
Primary contact name MONTE TORKELSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONTE TORKELSEN
PRESIDENT
6077 FAR HILLS AVE 222
CENTERVILLE OH 45459

Officer/Director/Trustee Two

YVONNE IWASA
TREASURER
940 HUGHS DR
PAYETTE ID 83661

Officer/Director/Trustee Three

LISA GEIBEL
SECRETARY
PO BOX 99
COLLEGE PLACE WA 99324

Officer/Director/Trustee Four

MYRNA SMITH
DIRECTOR
8071 BOURBON CT
RIVERSIDE CA 92507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 MONTE TORKELSEN
Signature Title PRESIDENT
Signature Date 10/14/2020

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