FORM 1023-EZ for PEOPLE FIRST CHAPTER OF AUGLAIZE COUNTY

Field Data
EIN 46-3901943
Case Number EO-2016133-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEOPLE FIRST CHAPTER OF AUGLAIZE COUNTY
Organization’s Mailing Address 1621 CELINA RD
City ST.MARYS
State OH
ZIP 45885
Accounting period End 12
Primary contact name RENEE GOODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES POLUTNIK
PRESIDENT
244 CUYAHOGA
LIMA OH 45806

Officer/Director/Trustee Two

KIRK CUNNINGHAM
SEC
2504 KENSINGTON
ST MARYS OH 45885

Officer/Director/Trustee Three

RENEE GOODWIN
ADVISOR
1621 CELINA RD
STMARYS OH 45885

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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