FORM 1023-EZ for ALYSSAS BREATH INC
| Field | Data |
|---|---|
| EIN | 82-2542912 |
| Case Number | EO-2017264-000216 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ALYSSAS BREATH INC |
| Organization’s Mailing Address | PO BOX 932 |
| City | SIDNEY |
| State | OH |
| ZIP | 45365-0932 |
| Accounting period End | 12 |
| Primary contact name | CONNIE KERNS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CONNIE KERNS
PRESIDENT TREASURER
613 BRICE AVENUE
PIQUA OH 45356-3321
Officer/Director/Trustee Two
LINDA FRIDLEY
VICE PRESIDENT SECRETARY
120 E PINEHURST
SIDNEY OH 45365-1648
Officer/Director/Trustee Three
TERESA STACKONIS
BOARD MEMBER
1301 EAST AVENUE
SIDNEY OH 45365-1719
Officer/Director/Trustee Four
TYLER AUKERMAN
BOARD MEMBER
7686 SPRING RUN COURT
REYNOLDSBURG OH 43068-1272
Officer/Director/Trustee Five
RANDY PHILLIPS
BOARD MEMBER
361 PARK DRIVE
DAYTON OH 45410-1413
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/12/2017 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes 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 | 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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