FORM 1023-EZ for BRUSHY CREEK RESERVE

Field Data
EIN 82-4890616
Case Number EO-2018089-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRUSHY CREEK RESERVE
Organization’s Mailing Address 6905 LONG DRIVE LANE
City LOVELAND
State OH
ZIP 45140
Accounting period End 12
Primary contact name STEVE CLAYBOURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE CLAYBOURN
PRESIDENT
6905 LONG DRIVE LANE
LOVELAND OH 45140

Officer/Director/Trustee Two

TOM LEHMANN
SECRETARY
6810 SAND HARBOR
MAINEVILLE OH 45039

Officer/Director/Trustee Three

LYNN LEHMANN
TREASURER
6810 SAND HARBOR
MAINEVILLE OH 45039

Officer/Director/Trustee Four

CANDY WILSON
HERD PROJECT LEADER
3695 NANTUCKET DR
LOVELAND OH 45140

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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 STEVE CLAYBOURN
Signature Title PRESIDENT
Signature Date 3/28/18

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