FORM 1023-EZ for PHASE II CRITICAL SUPPORT

Field Data
EIN 81-5275405
Case Number EO-2017052-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHASE II CRITICAL SUPPORT
Organization’s Mailing Address 2645 DUTCH RIDGE RD
City GUYSVILLE
State OH
ZIP 45735-9525
Accounting period End 12
Primary contact name CARLYLE M WOLDING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLYLE WOLDING
CHAIRMAN
2645 DUTCH RIDGE RD
GUYSVILLE OH 45735-9525

Officer/Director/Trustee Two

SCOTT DOCUS
VICE CHAIRMAN
2180 NORTHLAND AVE
LAKEWOOD OH 44107

Officer/Director/Trustee Three

CARLYLE WOLDING
TREASURER
2645 DUTCH RIDGE RD
GUYSVILLE OH 45735-9525

Officer/Director/Trustee Four

SCOTT DOCUS
SECRETARY
2180 NORTHLAND AVE
LAKEWOOD OH 44107

Officer/Director/Trustee Five

WILLIAM LOLLINI
DIRECTOR OF CURRICULUM
517 UNION STREET
MT PLEASANT OH 43939

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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