FORM 1023-EZ for FIERBAUGH FOUNDATION

Field Data
EIN 83-0922177
Case Number EO-2018274-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIERBAUGH FOUNDATION
Organization’s Mailing Address 35200 BOWER ROAD
City BOWERSTON
State OH
ZIP 44695
Accounting period End 12
Primary contact name LAURA LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

R MICHAEL FIERBAUGH
DIRECTOR/PRESIDNET
35200 BOWER ROAD
BOWERSTON OH 44695

Officer/Director/Trustee Two

KAREN FIERBAUGH
DIRECTOR SECRETARY/TREASURER
35200 BOWER ROAD
BOWERSTON OH 44695

Officer/Director/Trustee Three

JEREMIAH FIERBAUGH
DIRECTOR
90560 HEASTON ROAD
BOWERSTON OH 44695

Officer/Director/Trustee Four

CLAYTON FIERBAUGH
DIRECTOR
35200 BOWER ROAD APT B
BOWERSTON OH 44695

Officer/Director/Trustee Five

E DEWAYNE ALLEN
DIRECTOR
2530 OBSIDIAN FOREST
COLORADO SPRINGS CO 80951

Organization’s website
Organization’s email MIKE.FIERBAUGH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name R MICHAEL FIERBAUGH
Signature Title DIRECTOR/PRESIDNET
Signature Date 9/28/18

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