FORM 1023-EZ for TRIANGLE THERAPY ASSOCIATION

Field Data
EIN 83-4546095
Case Number EO-2019203-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRIANGLE THERAPY ASSOCIATION
Organization’s Mailing Address 911 W MAIN ST
City EATON
State OH
ZIP 45320
Accounting period End 12
Primary contact name GUY W BENGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GUY BENGE
TRUSTEE
911 W MAIN ST
EATON OH 45320

Officer/Director/Trustee Two

MARGARET BENGE
TRUSTEE
911 W MAIN ST
EATON OH 45320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
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 Yes
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 GUY BENGE
Signature Title TRUSTEE
Signature Date 7/18/19

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