FORM 1023-EZ for LOVE INC OF GREATER HOLMES COUNTY

Field Data
EIN 46-4810375
Case Number EO-2014307-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOVE INC OF GREATER HOLMES COUNTY
Organization’s Mailing Address PO BOX 144
City MILLERSBURG
State OH
ZIP 44654
Accounting period End 12
Primary contact name MARK VAN BENSCHOTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICKI CONN
EXECUTIVE DIRECTOR
9370 PRIVATE RD 632
FREDERICKSBURG OH 44627

Officer/Director/Trustee Two

JOHN MOSER
TREASURER
5008 TOWNSHIP RD 382
MILLERSBURG OH 44654

Officer/Director/Trustee Three

DAVID MILLER
CHAIRMAN
6311 HONEYRUN RD
MILLERSBURG OH 44654

Officer/Director/Trustee Four

IRENE BURGETT
VICE CHAIR
3984 TOWNSHIP RD 55
KILLBUCK OH 44637

Officer/Director/Trustee Five

LOIS NISLEY
SECRETARY
5222 PRIVATE RD 394
MILLERSBURG OH 44654

Organization’s website
Organization’s email LOVEINCOFGHC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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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