FORM 1023-EZ for WILLIAMSBURG COMMUNITY MISSION INC

Field Data
EIN 47-2381465
Case Number EO-2015313-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLIAMSBURG COMMUNITY MISSION INC
Organization’s Mailing Address 330 GAY STREET
City WILLIAMSBURG
State OH
ZIP 45176
Accounting period End 12
Primary contact name DAVID E CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID CARTER
DIRECTOR
233 E MAIN STREET
BATAVIA

Officer/Director/Trustee Two

NANCY PONTZ
DIRECTOR
246 BROADWAY
WILLIAMSBURG OH 45176

Officer/Director/Trustee Three

SUSAN BURGESS
DIRECTOR
1000 CRISFIELD
CINCINNATI OH 45245

Officer/Director/Trustee Four

LOLA IRVIN
DIRECTOR
2135 OLD STATE ROUTE 32
BATAVIA OH 45103

Officer/Director/Trustee Five

BETTY FISHER
DIRECTOR
1302 LEEBE DRIVE
WILLIAMSBURG OH 45176

Organization’s website
Organization’s email DCARTER23.ESQ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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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