FORM 1023-EZ for FRIENDS & FAMILY OF D11

Field Data
EIN 84-3102849
Case Number EO-2021127-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS & FAMILY OF D11
Organization’s Mailing Address 736 2ND AVE
City GALLIPOLIS
State OH
ZIP 45631
Accounting period End 12
Primary contact name KAITLIN ANGELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA SWAIN
TREASURER
2139 CLAY CHAPEL RD
CROWN CITY OH 45623

Officer/Director/Trustee Two

KIMBERLY CADE
PRESIDENT
4130 STATE RTE 218
GALLIPOLIS OH 45631

Officer/Director/Trustee Three

AMY PALMER
SECRETARY
595 SHOESTRING RIDGE RD
GALLIPOLIS OH 45631

Officer/Director/Trustee Four

ALLIE CLAGG
DIRECTOR
32 KINGERY RD
PATRIOT OH 45658

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 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 ALLIE CLAGG
Signature Title DIRECTOR
Signature Date 5/5/2021

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