FORM 1023-EZ for THE TAX COLLECTORS TABLE INC

Field Data
EIN 83-3884224
Case Number EO-2019178-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TAX COLLECTORS TABLE INC
Organization’s Mailing Address 1240 LINCOLN HWY
City WAPAKONETA
State OH
ZIP 45895
Accounting period End 12
Primary contact name JODI HOLTSBERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE ANN ROSS
VICE PRESIDENT
1631 NORTHBROOK DR
LIMA OH 45802

Officer/Director/Trustee Two

PRECIOUS GRUNDY
SECRETARY
1913 BROOKHAVEN DR
LIMA OH 45805

Officer/Director/Trustee Three

JODI HOLTSBERRY
PRESIDENT
1240 LINCOLN HWY
WAPAKONETA OH 45895

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
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: No
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 Yes
Donation of funds Yes
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 JODI HOLTSBERRY
Signature Title PRESIDENT
Signature Date 6/25/19

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