FORM 1023-EZ for MOHAWK COMMUNITY SERVICE CLUB

Field Data
EIN 85-2785241
Case Number EO-2021126-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOHAWK COMMUNITY SERVICE CLUB
Organization’s Mailing Address PO BOX 381
City SYCAMORE
State OH
ZIP 44882-0381
Accounting period End 6
Primary contact name SUSAN HUMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN HUMER
PRESIDENT
PO BOX 253
SYCAMORE OH 44882-0381

Officer/Director/Trustee Two

RITA BENNETT
TREASURER
12871 CO HWY 47
UPPER SANDUSKY OH 43351-0301

Officer/Director/Trustee Three

JACKIE HONAKER
ADVISOR PAST PRESIDENT
PO BOX 248
SYCAMORE OH 44882-0381

Officer/Director/Trustee Four

KAREN HARBER
SECRETARY
301 W SAFFEL AVENUE
SYCAMORE OH 44882-0381

Officer/Director/Trustee Five

DEANNA STOVER
1ST VICE PRESIDENT
6695 MARION MELMORE ROAD
SYCAMORE OH 44882-0381

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 SUSAN HUMER
Signature Title PRESIDENT
Signature Date 5/4/2021

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