FORM 1023-EZ for XENIA AVENUE RESOURCE CENTER
| Field | Data |
|---|---|
| EIN | 82-4700952 |
| Case Number | EO-2018071-000170 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | XENIA AVENUE RESOURCE CENTER |
| Organization’s Mailing Address | 546 XENIA AVE |
| City | DAYTON |
| State | OH |
| ZIP | 45410 |
| Accounting period End | 12 |
| Primary contact name | JACK GRAYER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JACK GRAYER
DIRECTOR/PRESIDENT/TREASURER
1613 LONGBOW LANE
DAYTON OH 45449
Officer/Director/Trustee Two
SUSAN GRAYER
DIRECTOR/SECRETARY
1613 LONGBOW LANE
DAYTON OH 45449
Officer/Director/Trustee Three
MARGIE DETRICK
DIRECTOR/VICE PRESIDENT
513 POLLOCK AVE
DAYTON OH 45403
Officer/Director/Trustee Four
SUE BARBER
DIRECTOR
1728 DUTCHESS AVE
DAYTON OH 45420
Officer/Director/Trustee Five
DIANA WATKINS
DIRECTOR
236 MCCLURE STREET
DAYTON OH 45410
| Organization’s website | |
|---|---|
| Organization’s email | JEGSEGGRAY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/28/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J33 - Sheltered Remunerative Employment, Work Activity Center N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | JACK GRAYER |
| Signature Title | DIRECTOR/PRESIDENT/TREASURER |
| Signature Date | 3/8/18 |
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