FORM 1023-EZ for WARREN COUNTY OF OHIO COMMUNITY EMERGENCY RESPONSE TEAM

Field Data
EIN 81-5396727
Case Number EO-2017053-000061
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARREN COUNTY OF OHIO COMMUNITY EMERGENCY RESPONSE TEAM
Organization’s Mailing Address 520 JUSTICE DRIVE
City LEBANON
State OH
ZIP 45036
Accounting period End 12
Primary contact name KARL E DEBORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CURTIS HELTON
PRESIDENT
2118 1/2 SOUTH VERITY PKWY
MIDDLETOWN OH 45044

Officer/Director/Trustee Two

TOM SCHAUF
VICE PRESIDENT
3683 GREENHAVEN WAY
MAINEVILLE OH 45039

Officer/Director/Trustee Three

KARL DEBORD
TREASURER
4649 FOREST RIDGE DR
MASON OH 45040

Officer/Director/Trustee Four

PATRICK PALMER
COMMUNICATIONS / PIO
4746 COX-SMITH RD
MASON OH 45040

Officer/Director/Trustee Five

DAVID ASTLES
LIAISON OFFICER
3131 SPALDING DR
MASON OH 45040

Organization’s website
Organization’s email WCOHCERT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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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