FORM 1023-EZ for ALEXIS TEARS

Field Data
EIN 85-2733073
Case Number EO-2020273-000723
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALEXIS TEARS
Organization’s Mailing Address 8106 TIMOTHY LANE
City SYLVANIA
State OH
ZIP 43560-1079
Accounting period End 12
Primary contact name RAMELLE M SMITH AGIN DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAMELLE SMITH AGIN
EXECUTIVE DIRECTOR PRESIDENT
8106 TIMOTHY LANE
SYLVANIA OH 43560

Officer/Director/Trustee Two

JETTA PACKER
DIRECTOR TREASURER
1643 MILBURN AVE
TOLEDO OH 43606

Officer/Director/Trustee Three

ALLEN AGIN
DIRECTOR
8106 TIMOTHY LANE
SYLVANIA OH 43560

Officer/Director/Trustee Four

MUR BOOKMILLER
DIRECTOR
6119 DEEPWOOD DR
SYLVANIA OH 43560

Officer/Director/Trustee Five

DAWUAN SMITH
VICE PRESIDENT
28786 STARGATE
PERRYSBURG OH 43551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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 RAMELLE SMITH AGIN
Signature Title EXECUTIVE DIRECTOR PRESIDENT
Signature Date 9/25/2020

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