FORM 1023-EZ for ORTHOPEDIC FOOT & ANKLE CENTER FOUNDATION

Field Data
EIN 83-4017281
Case Number EO-2019212-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORTHOPEDIC FOOT & ANKLE CENTER FOUNDATION
Organization’s Mailing Address 350 WEST WILSON BRIDGE RD SUITE 200
City WORTHINGTON
State OH
ZIP 43085
Accounting period End 12
Primary contact name CHRISTOPHER MASCIOLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRENCE PHILBIN
DIRECTOR / PRESIDENT
350 WEST WILSON BRIDGE RD STE 200
WORTHINGTON OH 43085

Officer/Director/Trustee Two

CHRISTOPHER HYER
DIRECTOR / SECRETARY
350 WEST WILSON BRIDGE RD STE 200
WORTHINGTON OH 43085

Officer/Director/Trustee Three

CHRISTOPHER MASCIOLA
DIRECTOR / TREASURER
350 WEST WILSON BRIDGE RD STE 200
WORTHINGTON OH 43085

Officer/Director/Trustee Four

EDWARD WALSH
DIRECTOR
350 WEST WILSON BRIDGE RD STE 200
WORTHINGTON OH 43085

Officer/Director/Trustee Five

JEFF BELL
DIRECTOR
350 WEST WILSON BRIDGE RD STE 200
WORTHINGTON OH 43085

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H50 - Nerve, Muscle, Bone Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 CHRISTOPHER MASCIOLA
Signature Title DIRECTOR / TREASURER
Signature Date 7/29/19

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