FORM 1023-EZ for HEREFORD LAKE PRESERVATION SOCIETYINC

Field Data
EIN 81-2525073
Case Number EO-2016277-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEREFORD LAKE PRESERVATION SOCIETYINC
Organization’s Mailing Address 240 N HEREFORD LANE
City MADISON
State IN
ZIP 47250
Accounting period End 12
Primary contact name ALLEN MANNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEAU GRAY
PRESIDENT
175 N LAKESIDE DR
MADISON IN 47250

Officer/Director/Trustee Two

LARRY KEITH
VICE PRESIDENT
360 N LAKESIDE DR
MADISON IN 47250

Officer/Director/Trustee Three

JULIE WHITE
SECRETARY
55 N HEREFORD LN
MADISON IN 47250

Officer/Director/Trustee Four

KELLY BOLDERY
TREASURER
240 N HEREFORD LN
MADISON IN 47250

Officer/Director/Trustee Five

ALLEN MANNING
TRUSTEE
95 N LAKESIDE DR
MADISON IN 47250

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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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