FORM 1023-EZ for SENIOR SERVICES NETWORK OF TUSCARAWAS COUNTY

Field Data
EIN 47-5017861
Case Number EO-2017261-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR SERVICES NETWORK OF TUSCARAWAS COUNTY
Organization’s Mailing Address PO BOX 212
City DOVER
State OH
ZIP 44622
Accounting period End 12
Primary contact name NICHOLAS J REYNOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVETTE SCHUPBACH
PRESIDENT
483 STRATTON AVENUE SW
NEW PHILADELPHIA OH 44663

Officer/Director/Trustee Two

SUZANNE BATES
VICE-PRESIDENT
716 COMMERCIAL AVENUE SW
NEW PHILADELPHIA OH 44663

Officer/Director/Trustee Three

DARLA CARLISLE
TREASURER
5799 NORTH WOOSTER AVENUE
DOVER OH 44622

Officer/Director/Trustee Four

COURTNEY SKAER
SECRETARY
659 BOULEVARD
DOVER OH 44622

Officer/Director/Trustee Five

NICHOLAS REYNOLDS
TRUSTEE
716 COMMERCIAL AVENUE SW
NEW PHILADLEPHIA OH 44663

Organization’s website
Organization’s email TUSCARAWASCOUNTYSSN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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
Signature Title
Signature Date

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