FORM 1023-EZ for WELLSVILLE COMMUNITY FOUNDATION

Field Data
EIN 85-4005192
Case Number EO-2021064-000658
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLSVILLE COMMUNITY FOUNDATION
Organization’s Mailing Address PO BOX 342
City WELLSVILLE
State OH
ZIP 43968
Accounting period End 12
Primary contact name DAVID T BALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDDIE MURPHY
PRESIDENT AND DIRECTOR
PO BOX 342
WELLSVILLE OH 43968

Officer/Director/Trustee Two

LINDA WEEKLEY
TREASURER AND DIRECTOR
PO BOX 342
WELLSVILLE OH 43968

Officer/Director/Trustee Three

TIMOTHY MCNICOL
VICE PRESIDENT AND DIRECTOR
PO BOX 342
WELLSVILLE OH 43968

Officer/Director/Trustee Four

CRESSEY BELDEN
SECRETARY AND DIRECTOR
PO BOX 342
WELLSVILLE OH 43968

Officer/Director/Trustee Five

PETER RUSSELL
DIRECTOR
PO BOX 342
WELLSVILLE OH 43968

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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 EDDIE MURPHY
Signature Title PRESIDENT AND DIRECTOR
Signature Date 1/6/2021

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