FORM 1023-EZ for CITIZENS IN ACTION

Field Data
EIN 30-0602657
Case Number EO-2014279-000488
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITIZENS IN ACTION
Organization’s Mailing Address 1837 GINTER RD
City DEFIANCE
State OH
ZIP 43512
Accounting period End 12
Primary contact name SHARON WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHY WALTON
PRESIDENT
13199 FULLMER RD
DEFIANCE OH 43512

Officer/Director/Trustee Two

ROGER MOLNAR
VICE PRESIDENT
626 RIVERSIDE AVE
DEFIANCE OH 43512

Officer/Director/Trustee Three

SHARON WASHINGTON
SECRETARY
1837 GINTER RD
DEFIANCE OH 43512

Officer/Director/Trustee Four

THELMA GARCIA
TREASURER
651 CHIPPEWA
DEFIANCE OH 43512

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2009
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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