FORM 1023-EZ for BACK TO NATURE LEARNING CENTER

Field Data
EIN 84-5044366
Case Number EO-2020244-000789
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACK TO NATURE LEARNING CENTER
Organization’s Mailing Address 12881 FAIRVIEW RD
City NEWARK
State OH
ZIP 43056
Accounting period End 12
Primary contact name ALICIA BELLEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA BELLEW
CEO/TREASURER
12881 FAIRVIEW RD
NEWARK OH 43056

Officer/Director/Trustee Two

REBECCA HAUSER
DIRECTOR/TREASURER
7360 LINNVILLE RD
HEATH OH 43056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 ALICIA BELLEW
Signature Title CEO/TREASURER
Signature Date 8/29/2020

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