FORM 1023-EZ for POMPE ALLIANCE

Field Data
EIN 83-3010338
Case Number EO-2019035-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POMPE ALLIANCE
Organization’s Mailing Address 11340 WILLOW HILL DRIVE
City CHESTERLAND
State OH
ZIP 44026
Accounting period End 12
Primary contact name HEATHER D SHORTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER SHORTEN
CHIEF EXECUTIVE OFFICER
11340 WILLOW HILL DRIVE
CHESTERLAND OH 44026

Officer/Director/Trustee Two

BARBARA FRANCIS
CHIEF FINACIAL OFFICER
7234 HYANNIS DRIVE
OAKWOOD VILLAGE OH 44146

Officer/Director/Trustee Three

SANDRA YOUNG
DIRECTOR
215 HARBOR LANE
SICKLERVILLE OH 8081

Officer/Director/Trustee Four

CLAUDE FRANCIS
DIRECTOR
7234 HYANNIS DRIVE
OAKWOOD VILLAGE OH 44146

Officer/Director/Trustee Five

LARA WALKER
DIRECTOR
5280 LAKE VIEW STREET
GERMANSVILLE PA 18053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - 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 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 HEATHER SHORTEN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/14/19

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