FORM 1023-EZ for ADAMS COUNTY COMMUNITY FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3133653 |
| Case Number | EO-2019036-000943 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADAMS COUNTY COMMUNITY FOUNDATION |
| Organization’s Mailing Address | PO BOX 185 |
| City | WEST UNION |
| State | OH |
| ZIP | 45693 |
| Accounting period End | 12 |
| Primary contact name | PAUL WORLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAUL WORLEY
PRESIDENT
409 WEST WALNUT ST
HILLSBORO OH 45133
Officer/Director/Trustee Two
KENTON GULLEY
VICE PRESIDENT
915 WINGED FOOT WAY
CINCINNATI OH 45245
Officer/Director/Trustee Three
MICHAEL PELL
SECRETARY
PO BOX 482
WEST UNION OH 45693
Officer/Director/Trustee Four
JOHN CONDON
TREASURER
PO BOX 183
WEST UNION OH 45693
Officer/Director/Trustee Five
JOHN LAWLER
MEMBER
14142 STATE ROUTE 41
WEST UNION OH 45693
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/9/19 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T31 - Community Foundations |
| 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 | 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 | PAUL WORLEY |
| Signature Title | PRESIDENT |
| Signature Date | 1/22/19 |
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