FORM 1023-EZ for BRUKNER CENTER GEM AND MINERAL CLUB

Field Data
EIN 47-4694593
Case Number EO-2015303-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRUKNER CENTER GEM AND MINERAL CLUB
Organization’s Mailing Address 601 BARNHART ROAD
City TROY
State OH
ZIP 45373-8702
Accounting period End 12
Primary contact name FRANK BROWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANK BROWER
PRESIDENT
601 BARNHART ROAD
TROY OH 45373-8702

Officer/Director/Trustee Two

ALICIA RUBIN
VICE PRESIDENT
5215 SOUTH DAYTON-BRANDT ROAD
NEW CARLISLE OH 45344

Officer/Director/Trustee Three

DORA LOUISE BROWER
TREASURER
601 BARNHART ROAD
TROY OH 45373-8702

Officer/Director/Trustee Four

TERESA NICHOLS
SECRETARY
8801 HOKE ROAD
CLAYTON OH 45315

Organization’s website
Organization’s email BRUKNER GEM CLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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