FORM 1023-EZ for TIPPER AND SQUIRT CARE FOR CUSHINGSFUND INC

Field Data
EIN 47-3232427
Case Number EO-2015058-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TIPPER AND SQUIRT CARE FOR CUSHINGSFUND INC
Organization’s Mailing Address 61 DOGWOOD DRIVE
City ANDOVER
State OH
ZIP 44003
Accounting period End 12
Primary contact name PATRICIA STALMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE RICHARDS
CEO/PRESIDENT
2700 SILICA HEIGHTS LOT 31
BENTON AR 72015

Officer/Director/Trustee Two

PATRICIA STALMA
V. PRESIDENT/SEC/TREAS
61 DOGWOOD DRIVE
ANDOVER OH 44003

Organization’s website
Organization’s email TIPPERANDSQUIRTCARE@TIPPER-SQUIRTCUSHINGFUND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 Yes
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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