FORM 1023-EZ for EASTSIDE HOMESCHOOL COOPERATIVE

Field Data
EIN 81-2694726
Case Number EO-2016202-000433
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EASTSIDE HOMESCHOOL COOPERATIVE
Organization’s Mailing Address 21012 HALBURTON RD
City BEACHWOOD
State OH
ZIP 44122
Accounting period End 12
Primary contact name LYNNE MADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEAH WILLIS
PRESIDENT
1554 S TAYLOR RD
CLEVELAND HEIGHTS OH 44118

Officer/Director/Trustee Two

RACHEL KOBUS
VICE PRESIDENT
25595 HIGHLAND RD
RICHMOND HEIGHTS OH 44143

Officer/Director/Trustee Three

LISA INGERSOLL
SECRETARY
1999 WRENFORD
S. EUCLID OH 44121

Officer/Director/Trustee Four

SHELLEY POLEWCHAK
MEMBERSHIP COORDINATOR
86 PINEHURST BLVD
EASTLAKE OH 44095

Officer/Director/Trustee Five

LYNNE MADDEN
TREASURER
21012 HALBURTON
BEACHWOOD OH 44122

Organization’s website HTTPS://SITES.GOOGLE.COM/SITE/COOPHOMESCHOOLEASTSIDE/HOME
Organization’s email EASTSIDECOOPOP@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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