FORM 1023-EZ for BUCKEYE LAKE AREA HUMANE SOCIETY

Field Data
EIN 27-3111750
Case Number EO-2018128-000643
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUCKEYE LAKE AREA HUMANE SOCIETY
Organization’s Mailing Address PO BOX 1502
City BUCKEYE LAKE
State OH
ZIP 43008
Accounting period End 12
Primary contact name BONNIE MANSFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIANNE PERINE
PRESIDENT/SECRETARY
PO BOX 1474
BUCKEYE LAKE OH 43008

Officer/Director/Trustee Two

JOHN BELL
VICE PRESIDENT
PO BOX 091022
BEXLEY OH 43209

Officer/Director/Trustee Three

BONNIE MANSFIELD
TREASURER/AGENT
PO BOX 1875
BUCKEYE LAKE OH 43008

Officer/Director/Trustee Four

MARK BAMBERGER
GENERAL LEGAL COUNSEL
PO BOX 189
SPRING VALLEY OH 45270

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/13
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BONNIE MANSFIELD
Signature Title TREASURER/AGENT
Signature Date 5/1/18

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