FORM 1023-EZ for DARKE COUNTY STEAK & CHOP TENT INC

Field Data
EIN 82-5325875
Case Number EO-2018220-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DARKE COUNTY STEAK & CHOP TENT INC
Organization’s Mailing Address 8420 NEW HARRISON-BRADFORD RD
City BRADFORD
State OH
ZIP 45308
Accounting period End 12
Primary contact name JANELLE BRINKSNEADER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM CUSTER
PRESIDENT
10280 CONOVER ROAD
VERSAILLES OH 45380

Officer/Director/Trustee Two

JIM DIRKSEN
VICE PRESIDENT
9026 PITSENBARGER ROAD
VERSAILLES OH 45380

Officer/Director/Trustee Three

JANELLE BRINKSNEADER
SECRETARY
4923 HOLLANSBURG-ARCANUM ROAD
ARCANUM OH 45304

Officer/Director/Trustee Four

GORDON SMITH
TREASURER
8420 NEW HARRISON-BRADFORD ROAD
BRADFORD OH 45308

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - 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 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 JANELLE BRINKSNEADER
Signature Title SECRETARY
Signature Date 8/6/18

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