FORM 1023-EZ for PRESCRIPTION RELIEF INC

Field Data
EIN 82-0921495
Case Number EO-2017086-000462
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRESCRIPTION RELIEF INC
Organization’s Mailing Address 253 N STATE ST
City WESTERVILLE
State OH
ZIP 43081
Accounting period End 12
Primary contact name DOUGLAS K PEARCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS PEARCE
PRESIDENT
253 N STATE ST
WESTERVILLE OH 43081

Officer/Director/Trustee Two

MICAH LIGGETT
VICE PRESIDENT
253 N STATE ST
WESTERVILLE OH 43081

Officer/Director/Trustee Three

BRYAN HILDRETH
SEC-TREAS
253 N STATE ST
WESTERVILLE OH 43081

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 Yes
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 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
Signature Title
Signature Date

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