FORM 1023-EZ for BUCKEYE STATE FUNERAL DIRECTORS ANDEMBALMERS ASSOCIATION

Field Data
EIN 90-0535870
Case Number EO-2020259-000032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUCKEYE STATE FUNERAL DIRECTORS ANDEMBALMERS ASSOCIATION
Organization’s Mailing Address 2500 CLEVELAND AVENUE
City COLUMBUS
State OH
ZIP 43211
Accounting period End 12
Primary contact name PAMELA WILLIAMS BRIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLAN J GARY
PRESIDENT
2500 CLEVELAND AVENUE
COLUMBUS OH 43211

Officer/Director/Trustee Two

GEORGE R HORNE JR
VICE PRESIDENT
12519 BUCKEYE ROAD
CLEVELAND OH 44120

Officer/Director/Trustee Three

LATOYA HENDERSON
TREASURER
6421 LAKE RUN COURT
HAMILTON OH 45011

Officer/Director/Trustee Four

PAMELA WILLIAMS BRIGGS
BOARD MEMBER
753 MCPHERSON STREET
MANSFIELD OH 44903

Officer/Director/Trustee Five

CLARENCE GLOVER
BOARD MEMBER
5407 WARD STREET
CINCINNATI OH 45227

Organization’s website HTTPS://WWW.BSFDEA.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 MARLAN J GARY
Signature Title PRESIDENT
Signature Date 9/11/2020

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