FORM 1023-EZ for GENESIS SPRING

Field Data
EIN 84-2375335
Case Number EO-2019224-000517
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENESIS SPRING
Organization’s Mailing Address 8235 OLD TROY PIKE PMB 135
City HUBER HEIGHTS
State OH
ZIP 45424
Accounting period End 7
Primary contact name DEEPA STINNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEEPA STINNETT
CEO
8235 OLD TROY PIKE PMB 135
HUBER HEIGHTS OH 45424

Organization’s website WWW.GENISISSPRING.ORG
Organization’s email INFO@GENESISSPRING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 DEEPA STINNETT
Signature Title CEO
Signature Date 8/9/19

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