FORM 1023-EZ for DEPRESSION AND BIPOLAR WELLNESS ALLIANCE CLEVELAND
| Field | Data |
|---|---|
| EIN | 81-4911965 |
| Case Number | EO-2017100-000405 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DEPRESSION AND BIPOLAR WELLNESS ALLIANCE CLEVELAND |
| Organization’s Mailing Address | 4484 WEST 213 STREET |
| City | FAIRVIEW PARK |
| State | OH |
| ZIP | 44126 |
| Accounting period End | 12 |
| Primary contact name | BOBBY KLINKO BOARD PRESIDENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANNE VENEZIANO
TRUSTEE
2440 SOM CENTER ROAD
PEPPER PIKE OH 44124
Officer/Director/Trustee Two
BOBBY KLINKO
OFFICER
4484 WEST 213 STREET
FAIRVIEW PARK OH 44126
Officer/Director/Trustee Three
DAVID GRELICK
TRUSTEE
3171 W 142 STREET
CLEVELAND OH 44111
Officer/Director/Trustee Four
KEMING GAO
TRUSTEE
10524 EUCLID AVENUE
CLEVELAND OH 44106
Officer/Director/Trustee Five
LAURA VANNI
VICE PRESIDENT
4627 W 157TH STREET
CLEVELAND OH 44135
| Organization’s website | |
|---|---|
| Organization’s email | VANNI.KLINKO.DWBA@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2016 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes 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 | 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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