FORM 1023-EZ for MIDWEST MATERNITY HOMES

Field Data
EIN 46-3983388
Case Number EO-2015187-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDWEST MATERNITY HOMES
Organization’s Mailing Address 4041 TAMARACK AVE
City GROVE CITY
State OH
ZIP 43123
Accounting period End 12
Primary contact name CAROLINE REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLINE REED
PRESIDENT AND CEO
4041 TAMARACK AVE
GROVE CITY OH 43123

Officer/Director/Trustee Two

DIANE DILLINGER
TREASURER
490 HENNIGANS GROVE RD
GROVE CITY OH 43123

Officer/Director/Trustee Three

TROY REED
CHAIRPERSON
4041 TAMARACK AVE
GROVE CITY OH 43123

Officer/Director/Trustee Four

PAMELA STEURER
TRUSTEE
7386 HOLDERMAN ST
LEWIS CENTER OH 43035

Officer/Director/Trustee Five

JONI FISHER
TRUSTEE
4280 DAYLILY DRIVE
POWELL OH 43065

Organization’s website
Organization’s email MIDWESTMATERNITYHOMES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 Yes
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
Signature Title
Signature Date

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