FORM 1023-EZ for OMD FOUNDATIONS

Field Data
EIN 82-1196245
Case Number EO-2017122-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMD FOUNDATIONS
Organization’s Mailing Address 11857 CLIFTON BLVD 102
City LAKEWOOD
State OH
ZIP 44107
Accounting period End 12
Primary contact name MARK K SHELINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT SHELINE
PRESIDENT
3040 BYRNWYCK WEST 201
MAUMEE OH 43537

Officer/Director/Trustee Two

MARK SHELINE
VICE PRESIDENT
11857 CLIFTON BLVD 102
LAKEWOOD OH 44107

Officer/Director/Trustee Three

TRACY CLEGG
VICE PRESIDENT
8170 WHITEFORD RD
OTTAWA LAKE MI 49267

Organization’s website OMDFOUNDATION.COM
Organization’s email OMDFOUNDATIONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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