FORM 1023-EZ for MILDRED G ROBERT K CAMPFIELD CHARITABLE TRUST

Field Data
EIN 82-3112895
Case Number EO-2017299-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILDRED G ROBERT K CAMPFIELD CHARITABLE TRUST
Organization’s Mailing Address 185 N BROAD ST
City NORWICH
State NY
ZIP 13815
Accounting period End 12
Primary contact name ROBERT B SCHLATHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD RUNYON
TRUSTEE
185 N BROAD ST
NORWICH NY 13815

Officer/Director/Trustee Two

WARREN NASH
TRUSTEE
52 PLYMOUTH ST
NORWICH NY 13815

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2017
Organization Incorporation State NY
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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