FORM 1023-EZ for A DAY AWAY INC

Field Data
EIN 82-5516788
Case Number EO-2018136-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A DAY AWAY INC
Organization’s Mailing Address 8191 HILLINGDON DRIVE
City POWELL
State OH
ZIP 43065-7072
Accounting period End 12
Primary contact name MICHAEL G GUERTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GUERTIN
PRESIDENT/DIRECTOR
8191 HILLINGDON DRIVE
POWELL OH 43065-7072

Officer/Director/Trustee Two

SUZANNE GUERTIN
VICE PRESIDENT/DIRECTOR
8191 HILLINGDON DRIVE
POWELL OH 43065-7072

Officer/Director/Trustee Three

TERRI RANCK
DIRECTOR
592 CATAWBA AVENUE
WESTERVILLE OH 43081-2661

Officer/Director/Trustee Four

CANDACE DARK
DIRECTOR
1377 WEST FIRST AVENUE
COLUMBUS OH 43212-3543

Officer/Director/Trustee Five

JOHN SCRANTON
DIRECTOR
171 NORTHIGH DRIVE
WORTHINGTON OH 43085-2310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 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 MICHAEL GUERTIN
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/11/18

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