FORM 1023-EZ for A TIME TO RELAX PROJECT

Field Data
EIN 82-4467239
Case Number EO-2018064-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A TIME TO RELAX PROJECT
Organization’s Mailing Address 1812 W 11TH STREET
City ASHTABULA
State OH
ZIP 44004
Accounting period End 2
Primary contact name NICHOLE SKAGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLE SKAGGS
SECRETARY
1812 W 11TH STREET DOWN
ASHTABULA OH 44004

Officer/Director/Trustee Two

TRAVIS LLOYD
OFFICER
731 E 6TH STREET
ASHTABULA OH 44004

Officer/Director/Trustee Three

JANE STEWARD
DIRECTOR
2711 BURLINGHAM DR
ASHTABULA OH 44004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLE SKAGGS
Signature Title SECRETARY
Signature Date 3/3/18

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