FORM 1023-EZ for EMPTY BOWLS BY THE LAKE
| Field | Data |
|---|---|
| EIN | 81-5314407 |
| Case Number | EO-2017047-000051 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | EMPTY BOWLS BY THE LAKE |
| Organization’s Mailing Address | 683 JOCKEYS CIRCLE |
| City | AVON LAKE |
| State | OH |
| ZIP | 44012 |
| Accounting period End | 12 |
| Primary contact name | LAURA KIRCHNER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LORI THOMAS-MCCARTHY
PRESIDENT
2558 CANDLEWOOD DRIVE
AVON OH 44011
Officer/Director/Trustee Two
DORIS LEIBITZKI
TREASURER
23 PERIWINKLE DRIVE
OLMSTED TWP OH 44138
Officer/Director/Trustee Three
LAURA KIRCHNER
SECRETARY/DIRECTOR
683 JOCKEYS CIRCLE
AVON LAKE OH 44012
Officer/Director/Trustee Four
ANN BORT
DIRECTOR
39200 DETROIT ROAD
AVON OH 44011
Officer/Director/Trustee Five
KENDALL BROWN
DIRECTOR
28900 OSBORN ROAD
BAY VILLAGE OH 44140
| Organization’s website | EMPTYBOWLSBYTHELAKE.ORG |
|---|---|
| Organization’s email | LAKIRCHNER@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/10/2017 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K12 - Fund Raising and/or Fund Distribution |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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