FORM 1023-EZ for WEST TOWNSHIP MEMORIAL ASSOCIATION

Field Data
EIN 47-1568939
Case Number EO-2015299-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST TOWNSHIP MEMORIAL ASSOCIATION
Organization’s Mailing Address 10070 ROCHESTER ROAD
City MINERVA
State OH
ZIP 44657-9414
Accounting period End 12
Primary contact name WAYNE ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHIRLEY FOX
PRESIDENT
23682 SR 172
MINERVA OH 44657-9414

Officer/Director/Trustee Two

JEFF HAYNAM
VICE PRESIDENT
9291 ROCHESTER ROAD
MINERVA OH 44657-9414

Officer/Director/Trustee Three

WAYNE ELLIS
TREASURER
10070 ROCHESTER ROAD
MINERVA OH 44657-9414

Officer/Director/Trustee Four

DIANA RICHESON
SECRETARY
10510 STUMP ROAD
MINERVA OH 44657-9414

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1919
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W20 - Government and Public Administration
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
Signature Title
Signature Date

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