FORM 1023-EZ for BETWEEN THE WATERS

Field Data
EIN 87-1109245
Case Number EO-2021237-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETWEEN THE WATERS
Organization’s Mailing Address 74 W WHIPP RD
City DAYTON
State OH
ZIP 45459-1800
Accounting period End 12
Primary contact name PEGGY BERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY ANN BERRY
EXECUTIVE DIRECTOR
74 W WHIPP RD
DAYTON OH 45459-1800

Officer/Director/Trustee Two

JULIE WEATHERING RICE
DIRECTOR
298 W NEW ENGLAND AVE
WORTHINGTON OH 43085

Officer/Director/Trustee Three

TIFFANY BUKOFFSKY
DIRECTOR
3780 RIDGEMILL DR
HILLIARD OH 43026

Officer/Director/Trustee Four

TERESA MILLS
DIRECTOR
2319 PARK RIDGE
GROVE CITY OH 43026

Officer/Director/Trustee Five

BRENDA JO MCMANAMA
DIRECTOR
97 DAVYS RUN ROAD
FAIRMONT WV 43123

Organization’s website
Organization’s email PABERRYRN@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 PEGGY ANN BERRY
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/23/2021

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