FORM 1023-EZ for JEFFERSON STREET OASIS COMMUNITY GARDEN

Field Data
EIN 83-2865677
Case Number EO-2019030-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFERSON STREET OASIS COMMUNITY GARDEN
Organization’s Mailing Address PO BOX 2812
City SPRINGFIELD
State OH
ZIP 45501-2812
Accounting period End 12
Primary contact name TERRY FREDRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY C CRABTREE
PRESIDENT
6988 OLD CLIFTON ROAD
SPRINGFIELD OH 45506

Officer/Director/Trustee Two

TERRY FREDRICH
TREASURER/CHAIRMAN
3559 OLD COLUMBUS ROAD
SPRINGFIELD OH 45503

Officer/Director/Trustee Three

LEE GRAGG
SECRETARY
2493 MAHAR ROAD
SOUTH VIENNA OH 45369

Officer/Director/Trustee Four

KELLY BUCK
TRUSTEE
3424 CAMBRIDGE DRIVE
SPRINGFIELD OH 45503

Officer/Director/Trustee Five

JANICE DRAKE
TRUSTEE
1915 W POSSUM ROAD
SPRINGFIELD OH 45506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 TERRY FREDRICH
Signature Title TREASURER/CHAIRMAN
Signature Date 12/21/18

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