FORM 1023-EZ for PTSD SUPPORT GROUP 178

Field Data
EIN 83-4166776
Case Number EO-2020043-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PTSD SUPPORT GROUP 178
Organization’s Mailing Address 631 W MAIN PO BOX 326
City VAN WERT
State OH
ZIP 45891
Accounting period End 12
Primary contact name CLINT MYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BECK
PRESIDENT
121 OHIO ST
CONVOY OH 45832

Officer/Director/Trustee Two

JONATHON WALLS
VICE PRESIDENT
501 S MAIN ST
CONVOY OH 45832

Officer/Director/Trustee Three

CARL BLEDSOE
SECRETARY
11656 HOGHE RD
VAN WERT OH 45891

Officer/Director/Trustee Four

CLINT MYERS
TREASURER
13347 ST RTE 116
VAN WERT OH 45891

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
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 CLINT MYERS
Signature Title TREASURER
Signature Date 2/10/2020

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