FORM 1023-EZ for HOMESCHOOLING IN MARYSVILLE - HIM

Field Data
EIN 27-1226658
Case Number EO-2019205-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOMESCHOOLING IN MARYSVILLE - HIM
Organization’s Mailing Address 21400 BENTON RD
City MARYSVILLE
State OH
ZIP 43040
Accounting period End 5
Primary contact name JENNIFER BLAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BLAMER
DIRECTOR
21400 BENTON RD
MARYSVILLE OH 43040

Officer/Director/Trustee Two

JENNIFER BAILEY
DEPUTY DIRECTOR
11271 RAUSCH RD
MARYSVILLE OH 43040

Officer/Director/Trustee Three

AUTUMN REIGHARD
BOARD MEMBER
11165 LEEPER PERKINS RD
MARYSVILLE OH 43040

Officer/Director/Trustee Four

CHRISTA WILSON
BOARD MEMBER
9520 WARD RD
PLAIN CITY OH 43064

Officer/Director/Trustee Five

LISA NARRAMORE
BOARD MEMBER
26437 NORTH LEWISBURG RD
NORTH LEWISBURG OH 43060

Organization’s website WWW.HOMESCHOOLMARYSVILLE.COM
Organization’s email HIM.OHIO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/14
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AUTUMN REIGHARD
Signature Title BOARD MEMBER
Signature Date 7/22/19

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