FORM 1023-EZ for MID OHIO DRUG PREVENTION COALITION

Field Data
EIN 47-3260094
Case Number EO-2018094-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID OHIO DRUG PREVENTION COALITION
Organization’s Mailing Address 55 N MULBERRY ST
City MANSFIELD
State OH
ZIP 44902
Accounting period End 12
Primary contact name TIM HILTERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY HILTERMAN
PRESIDENT
1086 HUNTERS RIDGE
LEXINGTON OH 44904

Officer/Director/Trustee Two

JESSICA HISER
VICE PRESIDENT
859 ANDOVER RD
MANSFIELD OH 44907

Officer/Director/Trustee Three

MORGAN GEORGE
SECRETARY
105 MAIN ST APT W
BELLVILLE OH 44813

Organization’s website HTTP://WWW.MIDOHIO13ER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/16
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 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 TIMOTHY HILTERMAN
Signature Title PRESIDENT
Signature Date 4/2/18

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