FORM 1023-EZ for BLUE HILLS HERITAGE FOUNDATION

Field Data
EIN 83-1818369
Case Number EO-2018267-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE HILLS HERITAGE FOUNDATION
Organization’s Mailing Address 216 NORTH MAIN STREET
City LUCAS
State KS
ZIP 67648
Accounting period End 12
Primary contact name VON ROTHENBERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VON ROTHENBERGER
DIRECTOR / SECRETARY/TREASURER
216 NORTH MAIN STREET
LUCAS KS 67648

Officer/Director/Trustee Two

MARY ANN STEINLE
DIRECTOR / PRESIDENT
118 NORTH RUSSELL AVENUE
LUCAS KS 67648

Officer/Director/Trustee Three

RITA SHARP
DIRECTOR / VICE PRESIDENT
139 POWER AVENUE
LUCAS KS 67648

Organization’s website
Organization’s email BLUEHILLSHERITAGEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: No
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VON ROTHENBERGER
Signature Title DIRECTOR / SECRETARY/TREASURER
Signature Date 9/20/18

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