FORM 1023-EZ for KREHBIEL LODGE INC

Field Data
EIN 38-4016202
Case Number EO-2021203-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KREHBIEL LODGE INC
Organization’s Mailing Address 277 WEST MILL STREET
City PATASKALA
State OH
ZIP 43062-8852
Accounting period End 12
Primary contact name MICHAEL DALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DALTON
OPERATIONS CHIEF
9557 CREEK ROAD
PATASKALA OH 43062-9476

Officer/Director/Trustee Two

GERALD WHEELER
CORPORATE TRUSTEE
458 SOUTH MAIN STREET
PATASKALA OH 43062

Officer/Director/Trustee Three

JOYCE MATHEWS
CORPORATE TRUSTEE
82 HABERSAC AVENUE
PATASKALA OH 43062

Officer/Director/Trustee Four

KENNETH MATHEWS
CORPORATE TRUSTEE
82 HABERSAC AVENUE
PATASKALA OH 43062

Organization’s website
Organization’s email PATASKALA21BSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/1975
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O40 - Scouting Organizations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL DALTON
Signature Title OPERATIONS CHIEF
Signature Date 7/20/2021

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