FORM 1023-EZ for 1 ACT OF RANDOM KINDNESS

Field Data
EIN 94-3473180
Case Number EO-2015190-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1 ACT OF RANDOM KINDNESS
Organization’s Mailing Address 1672 CYPRESS WEST
City AVON
State OH
ZIP 44011
Accounting period End 12
Primary contact name TRACY HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROSE ROBINSON
TREASURER/OFFICER
36550 CHESTER RD APT 1401
AVON OH 44011

Officer/Director/Trustee Two

SHELLY URCHEK-GEIST
OFFICER
232 GROVE STREET
CORTLAND OH 44410

Officer/Director/Trustee Three

GEREALEE S
TRUSTEE
25400 ROCKSIDE RD APT 603A
BEDFORD HEIGHTS OH 44146

Officer/Director/Trustee Four

CONNIE HILL
TRUSTEE
10005 KENNEDY AVE
CLEVELAND OH 44104

Officer/Director/Trustee Five

TRACY HENDERSON
DIRECTOR
1672 CYPRESS WEST
AVON OH 44011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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
Signature Title
Signature Date

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