FORM 1023-EZ for FRIENDS OF PACK 3141

Field Data
EIN 36-4916512
Case Number EO-2019073-000446
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF PACK 3141
Organization’s Mailing Address 14037 MAIN MARKET RD
City HIRAM
State OH
ZIP 44234
Accounting period End 7
Primary contact name MONIQUE L HORNSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDACE WOLF
TRUSTEE
15093 SOUTH STATE
MIDDLEFIELD OH 44062

Officer/Director/Trustee Two

KRISTY NEVINS
TRUSTEE
14792 GLEN VALLEY
MIDDLEFIELD OH 44062

Officer/Director/Trustee Three

MONIQUE HORNSBY
TRUSTEE
14037 MAIN MARKET RD
HIRAM OH 44234-9604

Organization’s website WWW.PACK3141.ORG
Organization’s email MIDDLEFIELDPACK3141@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O41 - Boy Scouts of America
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MONIQUE HORNSBY
Signature Title TRUSTEE
Signature Date 3/12/19

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