FORM 1023-EZ for LAKE COUNTY UNITY IN THE COMMUNITY

Field Data
EIN 84-4955412
Case Number EO-2020072-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE COUNTY UNITY IN THE COMMUNITY
Organization’s Mailing Address PO BOX 1652
City PAINESVILLE
State OH
ZIP 44077
Accounting period End 10
Primary contact name ANTHONY JEFFRIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY JEFFRIES
PRESIDENT
1047 EAST 22ND AVENUE
COLUMBUS OH 43211

Officer/Director/Trustee Two

CHARLES BROWN
CO-FOUNDER
1460 THATCHER DRIVE
PAINESVILLE OH 44077

Officer/Director/Trustee Three

CRAIG CLINTON
CO-FOUNDER
3423 SILVIEUS STREET
ASHTABULA OH 44004

Officer/Director/Trustee Four

ALGY BURTON
CO-FOUNDER
26151 LAKE SHORE BLVD
EUCLID OH 44132

Officer/Director/Trustee Five

ARLENE BECKS
SECRETARY
100 EAGLE STREET
PAINESVILLE OH 44077

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2020
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 ANTHONY JEFFRIES
Signature Title PRESIDENT
Signature Date 3/10/2020

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