FORM 1023-EZ for ROSIE PEER CENTER

Field Data
EIN 84-4019147
Case Number EO-2019354-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSIE PEER CENTER
Organization’s Mailing Address 1528 CLIFTON AVE
City SPRINGFIELD
State OH
ZIP 45505
Accounting period End 12
Primary contact name DEANDREA D ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANDREA ROBINSON
DIRECTOR
619 MIAMI ST
SPRINGFIELD OH 45506

Officer/Director/Trustee Two

LAWRENCE BEAVERS
VICE-PRESIDENT
562 E MAIN ST
SPRINGFIELD OH 45503

Officer/Director/Trustee Three

VALERIE SUTTLES
SECRETARY
1401 LINDEN AVE
SPRINGFIELD OH 45505

Officer/Director/Trustee Four

DARLENE CYDRUS
TRUSTEE
2541 SUNSET AVE
SPRINGFIELD OH 45505

Officer/Director/Trustee Five

TENA MCNEIL
TRUSTEE
4301 WOLF RD
MONTGOMERY OH 45416

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TENA MCNEIL
Signature Title TREASURER
Signature Date 12/18/2019

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