FORM 1023-EZ for IBD-FULTON COUNTY REGULATORS COMPANY LLC

Field Data
EIN 86-1552125
Case Number EO-2021077-000002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IBD-FULTON COUNTY REGULATORS COMPANY LLC
Organization’s Mailing Address 132 E AIRPORT HWY
City SWANTON
State OH
ZIP 43558
Accounting period End 12
Primary contact name ROBERT SHOEMAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT SHOEMAKER
TREASURER
425 ANTHONY WAYNE TRAIL APT 111
WATERVILLE OH 43566

Officer/Director/Trustee Two

JAMIE BRUSEAU
PRESIDENT
718 S KING RD
HOLLAND OH 43528

Officer/Director/Trustee Three

MICHAEL HENDRICKSON
VICE PRESIDENT
718 S KING RD
HOLLAND OH 43528

Officer/Director/Trustee Four

ADAM DEMOE
SECRETARY
319 W MAPLE ST
LIBERTY CENTER OH 43532

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 ROBERT SHOEMAKER
Signature Title TREASURER
Signature Date 1/19/2021

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