FORM 1023-EZ for ANTHONY TRISSELL MEMORIAL FOUNDATION

Field Data
EIN 82-0693309
Case Number EO-2017079-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANTHONY TRISSELL MEMORIAL FOUNDATION
Organization’s Mailing Address PO BOX 394
City VANDALIA
State OH
ZIP 45377-0394
Accounting period End 6
Primary contact name TOM J WHALEN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN TRISSELL
PRESIDENT
7660 TURTLE CREEK DR
DAYTON OH 45414-1756

Officer/Director/Trustee Two

MARY ANN TRISSELL
TREASURER, SECRETARY
522 S MAPLE ST
EATON OH 45320-9413

Officer/Director/Trustee Three

MATTHEW KORTHAUER
DIRECTOR
260 GREEN ACRES DR
DAYTON OH 45414-2146

Officer/Director/Trustee Four

LAURA ROHDE
DIRECTOR
230 DEERVALE CT
VANDALIA OH 45377-2927

Officer/Director/Trustee Five

DONNA ABELE
DIRECTOR
1386 STONEY SPRINGS RD
VANDALIA OH 45377-1643

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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
Signature Title
Signature Date

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