FORM 1023-EZ for CINCINNATI AREA PERI-ANESTHESIA NURSES ASSOCIATION

Field Data
EIN 61-1806335
Case Number EO-2016333-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CINCINNATI AREA PERI-ANESTHESIA NURSES ASSOCIATION
Organization’s Mailing Address 775 SUNDANCE DR
City CINCINNATI
State OH
ZIP 45233
Accounting period End 12
Primary contact name SUSAN TIEMEIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN TIEMEIER
TREASURER
775 SUNDANCE DR
CINCINNATI OH 45233

Officer/Director/Trustee Two

SHARON GALLAGHER
PRESIDENT
6356 CHIMNEY CT
MASON OH 45040

Officer/Director/Trustee Three

DEBBY NIEHAUS
IMM PAST PRESIDENT
2751 WHITEHOUSE LN
CINCINNATI OH 45244

Officer/Director/Trustee Four

NILA SEIBERT
SECRETARY
5330 CODY RD
INDEPENDENCE KY 41051

Officer/Director/Trustee Five

DIANE SMITH
VICE PRESIDENT
477 CHERRY HILL LN
LEBANON OH 45036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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