FORM 1023-EZ for CELTIC NORSE HERITAGE SOCIETY INC

Field Data
EIN 46-4864023
Case Number EO-2014223-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CELTIC NORSE HERITAGE SOCIETY INC
Organization’s Mailing Address 460 PALM TERRACE
City DELAND
State FM
ZIP 32724
Accounting period End 9
Primary contact name JACK E BOOTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA CARLEN
DIRECTOR
345KNOLL ST
DELAND FL 32720

Officer/Director/Trustee Two

JACK BOOTON
DIRECTOR
460 PALM TERRACE
DELAND FL 32724

Officer/Director/Trustee Three

MARION LANGE
DIRECTOR
2547 GLEN DR
NEW SMYRNA BEACH FL 32168

Officer/Director/Trustee Four

CASSANDRA MARCH
DIRECTOR
523 DORSET CIRCLE
SOUTH DAYTONA FL 32119

Officer/Director/Trustee Five

JULIA BELZ
DIRECTOR
1750 12TH ST
ORANGE CITY FL 32763

Organization’s website WWW.CELTICNORSEHERITAGESOCIETY.ORG
Organization’s email CELTICNORSEHS@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2014
Organization Incorporation State FL
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: Yes
Scientific: Yes
Literary: Yes
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
Signature Title
Signature Date

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