FORM 1023-EZ for BELDEN HISTORICAL SOCIETY

Field Data
EIN 34-1454975
Case Number EO-2015026-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELDEN HISTORICAL SOCIETY
Organization’s Mailing Address 35950 STATE ROUTE 303
City GRAFTON
State OH
ZIP 44044
Accounting period End 12
Primary contact name ROBERT L FLICKINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA SMOLILO
PRESIDENT
18311 STATE ROUTE 83
GRAFTON OH 44044

Officer/Director/Trustee Two

PAUL SMITH
VICE PRESIDENT
990 ADAMS STREET
VERMILION OH 44089

Officer/Director/Trustee Three

CHARLES SMITH
SECRETARY
35939 STATE ROUTE 303
GRAFTON OH 44044

Officer/Director/Trustee Four

ROBERT FLICKINGER
TREASURER
35939 STATE ROUTE 303
GRAFTON OH 44044

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/4/1984
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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