FORM 1023-EZ for MOMENTUM ORGANIZATION

Field Data
EIN 90-0596820
Case Number EO-2021162-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMENTUM ORGANIZATION
Organization’s Mailing Address 2477 NORTHVIEW ROAD
City ROCKY RIVER
State OH
ZIP 44116
Accounting period End 12
Primary contact name COLLEEN OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLEEN OBRIEN
DIRECTOR
2477 NORTHVIEW ROAD
ROCKY RIVER OH 44116

Officer/Director/Trustee Two

PATRICIA ABRAHAM
OFFICER
26958 BAGLEY ROAD
OLMSTED TOWNSHIP OH 44138

Officer/Director/Trustee Three

IRENKE GINN
OFFICER
4676 FLEHARTY
NORTH OLMSTED OH 44070

Officer/Director/Trustee Four

KIMBERLY ZAHNKE
OFFICER
6285 SOMERSET DR
NORTH OLMSTED OH 44070

Organization’s website MOMENTUMORG.COM
Organization’s email MOMENTUMORGANIZATION1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2010
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name COLLEEN OBRIEN
Signature Title DIRECTOR
Signature Date 6/9/2021

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