FORM 1023-EZ for AREA AGENCY ON AGING 3 FOUNDATION

Field Data
EIN 82-2530274
Case Number EO-2018039-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AREA AGENCY ON AGING 3 FOUNDATION
Organization’s Mailing Address 2423 ALLENTOWN RD
City LIMA
State OH
ZIP 45805
Accounting period End 12
Primary contact name JACQUELYN BRADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA GRIMM
BOARD PRESIDENT
2423 ALLENTOWN RD
LIMA OH 45805

Officer/Director/Trustee Two

JACQUELYN BRADLEY
BOARD VICE PRESIDENT
2423 ALLENTOWN RD
LIMA OH 45805

Officer/Director/Trustee Three

CRAIG GIESE
TREASURER
2423 ALLENTOWN RD
LIMA OH 45805

Officer/Director/Trustee Four

LEANN ROLLAND
BOARD MEMBER
2423 ALLENTOWN RD
LIMA OH 45805

Officer/Director/Trustee Five

STEPHANIE LANE
SECRETARY
2423 ALLENTOWN RD
LIMA OH 45805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 JACQUELYN BRADLEY
Signature Title BOARD VICE PRESIDENT
Signature Date 2/6/18

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