FORM 1023-EZ for VERSAILLES MODERN MOTHERS

Field Data
EIN 83-1555783
Case Number EO-2018232-000462
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VERSAILLES MODERN MOTHERS
Organization’s Mailing Address BOX 44
City VERSAILLES
State OH
ZIP 45380
Accounting period End 12
Primary contact name CAROLYN WILKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER PARIN
PRESIDENT
9151 MCCREA RD
BRADFORD OH 45308

Officer/Director/Trustee Two

JOYCE KOOPMAN
VICE PRESIDENT
11059 REED RD
VERSAILLES OH 45380

Officer/Director/Trustee Three

DIANA POEPPELMAN
TREASURER
518 HY-ACRES ST
VERSAILLES OH 45380

Officer/Director/Trustee Four

TRINA WINNER
ASSISTANT TREASURER
9310 KELCH RD
VERSAILLES OH 45380

Officer/Director/Trustee Five

CAROLYN WILKER
CORRESPONDING DIRECTOR
164 N MAIN ST
NORTH STAR OH 45350

Organization’s website
Organization’s email JENNIFERPARIN@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 CAROLYN WILKER
Signature Title CORRESPONDING DIRECTOR
Signature Date 8/17/18

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