FORM 1023-EZ for HENRY COUNTY CHAMBER FOUNDATION INC

Field Data
EIN 85-3711656
Case Number EO-2020321-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRY COUNTY CHAMBER FOUNDATION INC
Organization’s Mailing Address 611 N PERRY
City NAPOLEON
State OH
ZIP 43545
Accounting period End 12
Primary contact name JOEL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY WATSON
CHAIR
625 SCOTT STREET
NAPOLEON OH 43545

Officer/Director/Trustee Two

BRIAN KOELLER
VICE CHAIR
595 E RIVERVIEW
NAPOLEON OH 43545

Officer/Director/Trustee Three

TOM MORIARTY
TREASURER
421 INDEPENDENCE DR
NAPOLEON OH 43545

Officer/Director/Trustee Four

JOEL MILLER
EXECUTIVE DIRECTOR
611 N PERRY
NAPOLEON OH 43545

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOEL MILLER
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/12/2020
EIN 85-3711656
Case Number EO-2020321-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRY COUNTY CHAMBER FOUNDATION INC
Organization’s Mailing Address 611 N PERRY
City NAPOLEON
State OH
ZIP 43545
Accounting period End 12
Primary contact name JOEL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY WATSON
CHAIR
625 SCOTT STREET
NAPOLEON OH 43545

Officer/Director/Trustee Two

BRIAN KOELLER
VICE CHAIR
595 E RIVERVIEW
NAPOLEON OH 43545

Officer/Director/Trustee Three

TOM MORIARTY
TREASURER
421 INDEPENDENCE DR
NAPOLEON OH 43545

Officer/Director/Trustee Four

JOEL MILLER
EXECUTIVE DIRECTOR
611 N PERRY
NAPOLEON OH 43545

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOEL MILLER
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/12/2020

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