FORM 1023-EZ for CYCLING WITHOUT AGE SENECA COUNTY

Field Data
EIN 87-1326049
Case Number EO-2021175-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYCLING WITHOUT AGE SENECA COUNTY
Organization’s Mailing Address 2518 S STATE ROUTE 231
City TIFFIN
State OH
ZIP 44883
Accounting period End 12
Primary contact name PATRICIA J DEMONTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA DEMONTE
PRESIDENT
2518 S STATE ROUTE 231
TIFFIN OH 44883

Officer/Director/Trustee Two

MARK INGALLS
VICE PRESIDENT
2375 EAST COUNTY ROAD 36
TIFFIN OH 44883

Officer/Director/Trustee Three

SHAYNE THOMAS
TREASURER
2259 SOUTH TOWNSHIP ROAD 159
TIFFIN OH 44883

Officer/Director/Trustee Four

JILL GOSCHE
SECRETARY
POST OFFICE BOX 74
BASCOM OH 44809

Officer/Director/Trustee Five

PATTY SMITH
BOARD MEMBER
121 GIBSON COURT
TIFFIN OH 44883

Organization’s website
Organization’s email CWASENECACOUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 PATRICIA DEMONTE
Signature Title PRESIDENT
Signature Date 6/22/2021

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