FORM 1023-EZ for INTEGRATE COLUMBUS INC

Field Data
EIN 83-3421637
Case Number EO-2019039-000511
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTEGRATE COLUMBUS INC
Organization’s Mailing Address 906 KNEBWORTH COURT
City WESTERVILLE
State OH
ZIP 43018
Accounting period End 12
Primary contact name SUSAN L STRAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA COOKSEY-BEKOS
PRESIDENT
906 KNEBWORTH COURT
WESTERVILLE OH 43018-2753

Officer/Director/Trustee Two

SUMIT BHATLA
TREASURER
333 DREXEL AVENUE
BEXLEY OH 43209

Officer/Director/Trustee Three

BLAINE FRANZ
CO-TREASURER
105 CHAPIN PLACE
GRANVILLE OH 43023

Officer/Director/Trustee Four

TONYA SAPP
VICE PRESIDENT
1365 BOLENHILL AVENUE
COLUMBUS OH 43229

Officer/Director/Trustee Five

SUSAN SCHEIRING
DIRECTOR OF COMMUNITY COUNCIL
748 MOUNTAINVIEW DRIVE
WESTERVILLE OH 43081

Organization’s website WWW.INTEGRATECOLUMBUS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: No
Religious: No
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 MELINDA COOKSEY-BEKOS
Signature Title PRESIDENT
Signature Date 2/5/19

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