FORM 1023-EZ for CENTRAL CROSSING CHOIR-THEATRE BOOSTERS

Field Data
EIN 81-2618858
Case Number EO-2016314-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL CROSSING CHOIR-THEATRE BOOSTERS
Organization’s Mailing Address 423
City GROVE CITY
State OH
ZIP 43123
Accounting period End 6
Primary contact name CAROL FOWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA MAXAM
PRESIDENT
2238 ROLLING STREET
GROVE CITY OH 43123

Officer/Director/Trustee Two

TRISHA SCHOEN
VICE PRESIDENT
7786 HARRISBURG LONDON ROAD
ORIENT OH 43146

Officer/Director/Trustee Three

PATRICK DICK
TREASURUER
6311 OAKHURST DRIVE
GROVE CITY OH 43123

Officer/Director/Trustee Four

JENNIFER PAUQUETTE
SECRETARY
4118 CYPRESS AVENUE
GROVE CITY OH 43123

Officer/Director/Trustee Five

CAROL FOWLER
STATUTORY AGENT
5875 BOYD RD
GROVE CITY OH 43123-9761

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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