FORM 1023-EZ for BEAN CREEK VALLEY HISTORY CENTER INC

Field Data
EIN 47-2316914
Case Number EO-2017243-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAN CREEK VALLEY HISTORY CENTER INC
Organization’s Mailing Address 118 W MAIN ST PO BOX 27
City FAYETTE
State OH
ZIP 43521
Accounting period End 5
Primary contact name RUTH B MARLATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLEEN RUFENACHT
PRES
23749 COUNTY ROAD J
ARCHBOLD OH 43502

Officer/Director/Trustee Two

RUTH B MARLATT
V PRES
502 S GORHAM ST PO BOX 184
FAYETTE OH 43521

Officer/Director/Trustee Three

JULIE MILLER
TREASURER
23028 COUNTY ROAD H
ARCHBOLD OH 43502

Officer/Director/Trustee Four

LUCY MOLITERNO
SECRETARY
210 W GAMBLE RD
FAYETTE OH 43521

Officer/Director/Trustee Five

TOM SPIESS
DIRECTOR
23599 COUNTY ROAD S
FAYETTE OH 43521

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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