FORM 1023-EZ for LAKE BUENA VISTA HISTORICAL SOCIETYINC

Field Data
EIN 83-1214098
Case Number EO-2018207-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE BUENA VISTA HISTORICAL SOCIETYINC
Organization’s Mailing Address 1383 52ND AVE NE
City ST PETERSBURG
State FL
ZIP 33703
Accounting period End 12
Primary contact name TODD MCCARTNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD MCCARTNEY
DIRECTOR
47 PEABODY DRIVE
BRENTWOOD PA 3833

Officer/Director/Trustee Two

BRIAN MILES
DIRECTOR
601 AMBERLEY DR
BLUE BELL PA 19422

Officer/Director/Trustee Three

HOW BOWERS
SECRETARY
1382 52ND AVE NE
ST PETERSBURG FL 33703

Officer/Director/Trustee Four

JOSEPH KUZIOR
TREASURUER
134 CORUNNA AVENUE
FAIRLAWN OH 44333

Organization’s website
Organization’s email INFO@LBVHISTORY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State FL
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TODD MCCARTNEY
Signature Title DIRECTOR
Signature Date 7/24/18

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