FORM 1023-EZ for ERIE COUNTY AREA SAFETY COUNCIL

Field Data
EIN 84-4224153
Case Number EO-2020114-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ERIE COUNTY AREA SAFETY COUNCIL
Organization’s Mailing Address PO BOX 453
City SANDUSKY
State OH
ZIP 44871
Accounting period End 6
Primary contact name PAMELA HARTUNG-KELLEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH HENKEL
PRESIDENT
PO BOX 453
SANDUSKY OH 44871

Officer/Director/Trustee Two

MARLIS ROCK
1ST VICE PRESIDENT
PO BOX 453
SANDUSKY OH 44871

Officer/Director/Trustee Three

JESSICA GILDERSLEEVE
2ND VICE PRESIDENT
PO BOX 453
SANDUSKY OH 44871

Officer/Director/Trustee Four

PAMELA HARTUNG-KELLEM
DIRECTOR
PO BOX 453
SANDUSKY OH 44871

Officer/Director/Trustee Five

JOHN MANN
DIRECTOR
PO BOX 453
SANDUSKY OH 44871

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA HARTUNG-KELLEM
Signature Title DIRECTOR
Signature Date 4/21/2020

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