FORM 1023-EZ for WILLOUGHBY WORKS FOUNDATION INC

Field Data
EIN 83-4631997
Case Number EO-2020041-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLOUGHBY WORKS FOUNDATION INC
Organization’s Mailing Address 1 PUBLIC SQUARE
City WILLOUGHBY
State OH
ZIP 44094-7827
Accounting period End 12
Primary contact name THOMAS THIELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDEAN BANKER
PRESIDENT
1 PUBLIC SQUARE
WILLOUGHBY OH 44094-7827

Officer/Director/Trustee Two

THOMAS THIELMAN
TREASURER
1 PUBLIC SQUARE
WILLOUGHBY OH 44094-7827

Officer/Director/Trustee Three

SHANA BOYD
SECRETARY
1 PUBLIC SQUARE
WILLOUGHBY OH 44094-7827

Officer/Director/Trustee Four

JERRY COOK
BOARD MEMBER
1 PUBLIC SQUARE
WILLOUGHBY OH 44094-7827

Officer/Director/Trustee Five

DEDRIAN SLOGAR
BOARD MEMBER
1 PUBLIC SQUARE
WILLOUGHBY OH 44094-7827

Organization’s website NONE
Organization’s email TTHIELMAN@WILLOUGHBYOHIO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 THOMAS THIELMAN
Signature Title TREASURER
Signature Date 2/6/2020

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