FORM 1023-EZ for HYDRO4LIFE

Field Data
EIN 83-2752582
Case Number EO-2018348-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HYDRO4LIFE
Organization’s Mailing Address 6195 EMERALD PARKWAY ONE NORTH
City DUBLIN
State OH
ZIP 43016
Accounting period End 12
Primary contact name THOMAS K HARRINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIDA DAPAAH
PRESIDENT
6195 EMERALD PARKWAY ONE NORTH
DUBLIN OH 43016

Officer/Director/Trustee Two

SCOTT SHADOAN
VICE PRESIDENT
6195 EMERALD PARKWAY ONE NORTH
DUBLIN OH 43016

Officer/Director/Trustee Three

TAMMY SHADE
TREASURER/SECRETARY
6195 EMERALD PARKWAY ONE NORTH
DUBLIN OH 43016

Officer/Director/Trustee Four

THOMAS HARRINGTON
EXECUTIVE DIRECTOR
6195 EMERALD PARKWAY ONE NORTH
DUBLIN OH 43016

Organization’s website WWW.HYDRO4LIFE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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 THOMAS HARRINGTON
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/12/18

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