FORM 1023-EZ for OLD FORT SENECA COMMUNITY PARK

Field Data
EIN 34-1702648
Case Number EO-2018199-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OLD FORT SENECA COMMUNITY PARK
Organization’s Mailing Address 5319 NORTH TOWNSHIP ROAD 137
City TIFFIN
State OH
ZIP 44883
Accounting period End 12
Primary contact name DEREK HUNKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK HUNKER
PRESIDENT
3536 NORTH TOWNSHIP RD 69
TIFFIN OH 44883

Officer/Director/Trustee Two

LISA NUTTER
TREASURER
5319 NORTH TOWNSHIP RD 137
TIFFIN OH 44883

Officer/Director/Trustee Three

DOUG HOERIG
SECRETARY
370 EAST TOWNSHIP ROAD 152
TIFFIN OH 44883

Officer/Director/Trustee Four

TOBY STOVER
MEMBER
2721 EAST TOWNSHIP ROAD 148
TIFFIN OH 44883

Officer/Director/Trustee Five

MARK MILLER
MEMBER
5311 TOWNSHIP ROAD 137
TIFFIN OH 44833

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/98
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEREK HUNKER
Signature Title PRESIDENT
Signature Date 7/15/18

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