FORM 1023-EZ for CONVENE COLUMBUS

Field Data
EIN 82-4954964
Case Number EO-2018096-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONVENE COLUMBUS
Organization’s Mailing Address 8831 VINEYARD HAVEN DRIVE
City DUBLIN
State OH
ZIP 43016
Accounting period End 12
Primary contact name HARVEY HOOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN PEREZ
PRESIDENT
8000 RAVINES EDGE COURT
COLUMBUS OH 43235

Officer/Director/Trustee Two

DEBORAH JOHNSON
VICE PRESIDENT
2518 ZEBEC STREET
POWELL OH 43065

Officer/Director/Trustee Three

BILL KIEFABER
SECRETARY TREASURER
740 LAKEVIEW PLAZA BLVD
WORTHINGTON OH 43085

Officer/Director/Trustee Four

HARVEY HOOK
EXECUTIVE DIRECTOR
8831 VINEYARD HAVEN DRIVE
DUBLIN OH 43016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 HARVEY HOOK
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/4/18

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