FORM 1023-EZ for LIBERTY RAYMOND TAVERN & LIVERY STABLE

Field Data
EIN 84-4431483
Case Number EO-2020028-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY RAYMOND TAVERN & LIVERY STABLE
Organization’s Mailing Address 2281 KINSMAN RD NE
City N BLOOMFIELD
State OH
ZIP 44450
Accounting period End 12
Primary contact name WILLIAM J WEISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM WEISS
TRUSTEE
2281 KINSMAN RD NE
N BLOOMFIELD OH 44450

Officer/Director/Trustee Two

WILLIAM NAPOLI
TRUSTEE
3314 HELSEY FUSSELMAN RD
SOUTHINGTON OH 44470

Officer/Director/Trustee Three

SAMUEL BYLER
TRUSTEE
9479 CREASER RD
NORTH BLOOMFIELD OH 44450

Officer/Director/Trustee Four

KEITH CHILDERS
TRUSTEE
9707 STATE ROUTE 534
MIDDLEFIELD OH 44062

Officer/Director/Trustee Five

JOHN FARMWALD
TRUSTEE
10296 ST RT 46
NORTH BLOOMFIELD OH 44450

Organization’s website N/A
Organization’s email HISWAYENTERPRISE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM WEISS
Signature Title TRUSTEE
Signature Date 1/26/2020

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