FORM 1023-EZ for SOMERVILLE SCHOOL CENTENNIAL PAY ITFORWARD

Field Data
EIN 47-3634070
Case Number EO-2015128-000543
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOMERVILLE SCHOOL CENTENNIAL PAY ITFORWARD
Organization’s Mailing Address 6461 BUCKLEY RD
City OXFORD
State OH
ZIP 45056
Accounting period End 4
Primary contact name TERESA OR DAVID ABRAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID ABRAMS
CEO/PRESIDENT
6461 BUCKLEY ROAD
OXFORD OH 45056

Officer/Director/Trustee Two

TERESA ABRAMS
SECRETARY
6461 BUCKLEY ROAD
OXFORD OH 45056

Officer/Director/Trustee Three

MIKE ABRAMS
TREASURER
4511 WEST ELKTON
HAMILTON OH 45011

Officer/Director/Trustee Four

DONNA CIRCLE
VICE PRESIDENT
1109 SOMERVILLE-JACKSONBURG RD
SOMERVILLE OH 45064

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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
Signature Title
Signature Date

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