FORM 1023-EZ for BROWN COUNTY CHARITY HORSE SHOW INC

Field Data
EIN 38-4119845
Case Number EO-2019156-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROWN COUNTY CHARITY HORSE SHOW INC
Organization’s Mailing Address PO BOX 28
City GEORGETOWN
State OH
ZIP 45121
Accounting period End 12
Primary contact name TRACY L HAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER CONNOR
DIRECTOR
318 BL
GEORGETOWN OH 45121

Officer/Director/Trustee Two

THOMAS DURBIN
DIRECTOR
7388 FOX RUN ROAD
GEORGETOWN OH 45121

Officer/Director/Trustee Three

DEBORAH DURBIN
DIRECTOR
7388 FOX RUN ROAD
GEORGETOWN OH 45121

Officer/Director/Trustee Four

JEFFREY DONOHOO
DIRECTOR
7407 FOX RUN ROAD
GEORGETOWN OH 45121

Officer/Director/Trustee Five

BRIAN ANDRIOT
DIRECTOR
309 HOME STREET
GEORGETOWN OH 45121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 JENNIFER CONNOR
Signature Title DIRECTOR
Signature Date 6/3/19

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