FORM 1023-EZ for HELD BY HIM

Field Data
EIN 83-1869972
Case Number EO-2019115-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELD BY HIM
Organization’s Mailing Address 1506 BAIR RD
City URBANA
State OH
ZIP 43078
Accounting period End 12
Primary contact name TRICIA BLANKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRICIA BLANKEN
PRESIDENT
1506 BAIR RD
URBANA OH 43078

Officer/Director/Trustee Two

LISA BLAKE
SECRETARY/TREASURER
160 NEAL RD
ST PARIS OH 43072

Officer/Director/Trustee Three

KAREN BURNS
BOARD MEMBER
210 NORTH HIGH ST
URBANA OH 43078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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 TRICIA BLANKEN
Signature Title PRESIDENT
Signature Date 4/23/19

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