FORM 1023-EZ for THE BUCKEYE RETRIEVER CLUB

Field Data
EIN 34-1961804
Case Number EO-2019164-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BUCKEYE RETRIEVER CLUB
Organization’s Mailing Address PO BOX 523
City NORTH BLOOMFIELD
State OH
ZIP 44450
Accounting period End 2
Primary contact name DANA A ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA POVEDA
PRESIDENT
7529 SADDLEBACK LANE
GATES MILLS OH 44040

Officer/Director/Trustee Two

BILL SKEELS
TREASURER
PO BOX 523
N BLOOMFIELD OH 44450

Officer/Director/Trustee Three

DAVID PHILLIPS
VICE PRESIDENT
9936 RAVENNA ROAD
CHARDON OH 44024

Officer/Director/Trustee Four

TIM DAILY
SECRETARY
6080 WILLOW LAKE DRIVE
HUDSON OH 44236

Officer/Director/Trustee Five

KATHY HEINTEL
VOTING MEMBER
4374 AUSTIN ROAD
GENEVA OH 44041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/50
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CYNTHIA POVEDA
Signature Title PRESIDENT
Signature Date 6/11/19

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