FORM 1023-EZ for PRESERVE BURNET WOODS INC

Field Data
EIN 83-2811628
Case Number EO-2019038-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRESERVE BURNET WOODS INC
Organization’s Mailing Address 678 RIDDLE ROAD
City CINCINNATI
State OH
ZIP 45220-2602
Accounting period End 8
Primary contact name RANDY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA DUVAL
PRESIDENT
678 RIDDLE RD
CINCINNATI OH 45220-2602

Officer/Director/Trustee Two

ROBERT HYLAND
VICE PRESIDENT
10824 KINGSLAKE DR APT C
CINCINNATI OH 45242-3241

Officer/Director/Trustee Three

RANDY JOHNSON
SECRETARY
947 VOLTERRA LANE
CINCINNATI OH 45206-2439

Officer/Director/Trustee Four

JODIE ZULTOWSKY
TREASURER
3448 BROOKLINE AVE
CINCINNATI OH 45220-1839

Officer/Director/Trustee Five

TIMOTHY MARA
BOARD MEMBER
1417 PLEASANT ST
CINCINNATI OH 45202-6916

Organization’s website PRESERVEBURNETWOODS.ORG
Organization’s email ILOVE.BURNET@PRESERVEBURNETWOODS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 RANDY JOHNSON
Signature Title SECRETARY
Signature Date 1/30/19

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