FORM 1023-EZ for 4-H CLUBS & AFFILIATED 4-H ORGANIZATIONS

Field Data
EIN 31-1056851
Case Number EO-2019284-000592
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4-H CLUBS & AFFILIATED 4-H ORGANIZATIONS
Organization’s Mailing Address 1357 STATE ROUTE 121
City NEW MADISON
State OH
ZIP 45346
Accounting period End 12
Primary contact name RACHEL SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE FEARON
PRESIDENT
6137 HOGPATH ROAD
GREENVILLE OH 45331

Officer/Director/Trustee Two

MATT SULLIVAN
VICE PRESIDENT
1357 STATE ROUTE 121
NEW MADISON OH 45346

Officer/Director/Trustee Three

HANNAH STIKELEATHER
SECRETARY
603 STATE ROUTE 49
LAURA OH 45337

Officer/Director/Trustee Four

RACHEL SULLIVAN
TREASURER
1357 STATE ROUTE 121
NEW MADISON OH 45346

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/80
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
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 RACHEL SULLIVAN
Signature Title TREASURER
Signature Date 10/9/19

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