FORM 1023-EZ for FAITHWORKS-DAYTON

Field Data
EIN 26-3834937
Case Number EO-2019294-000459
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAITHWORKS-DAYTON
Organization’s Mailing Address 7227 PINELAND TRAIL
City DAYTON
State OH
ZIP 45415
Accounting period End 12
Primary contact name KAREN F BRUMIT PARALEGAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES WASHINGTON
PRESIDENT
P O BOX 26489
TROTWOOD OH 45426

Officer/Director/Trustee Two

JAMES PAYNE
TREASURER
1535 WEST FIRST STREET
DAYTON OH 45402

Officer/Director/Trustee Three

CLARICE CHATTMAN
SECRETARY
7227 PINELAND TRAIL
DAYTON OH 45415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/08
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 CLARICE CHATTMAN
Signature Title SECRETARY
Signature Date 10/17/19

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