FORM 1023-EZ for MIAMISBURG HIGH SCHOOL ALUMNI ASSOCIATION

Field Data
EIN 31-1117886
Case Number EO-2014343-000060
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIAMISBURG HIGH SCHOOL ALUMNI ASSOCIATION
Organization’s Mailing Address PO BOX 412
City MIAMISBURG
State OH
ZIP 45343-0412
Accounting period End 12
Primary contact name LEE HIERONYMUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEE HIERONYMUS
PRESIDENT
1278 MAUE RD
MIAMISBURG OH 45342

Officer/Director/Trustee Two

ROBERT MITMAN
VICE PRESIDENT
1075 WOODS VIEW CT
MIAMISBURG OH 45342

Officer/Director/Trustee Three

WINNIE MORGAN
SECRETARY
746 S GEBHART CHURCH RD
MIAMISBURG OH 45342

Officer/Director/Trustee Four

LINDA BERNARD
TREASURER
9084 MUZETTE CT
MIAMISBURG OH 45342

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date ###############################################################################################################################################################################################################################################################
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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