FORM 1023-EZ for BURCHFIELD HOMESTEAD SOCIETY INC

Field Data
EIN 34-1743814
Case Number EO-2020188-000795
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURCHFIELD HOMESTEAD SOCIETY INC
Organization’s Mailing Address P O BOX 317
City SALEM
State OH
ZIP 44460
Accounting period End 12
Primary contact name FREDERIC NARAGON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARA BAER
PRESIDENT
1085 JENNINGS AVE
SALEM OH 44460-1563

Officer/Director/Trustee Two

FREDERIC NARAGON
SECRETARY/TREASURER
248 E STATE ST
SALEM OH 44460-2845

Officer/Director/Trustee Three

CHERYL MATTEVI
BOARD MEMBER
867 4TH ST
SALEM OH 44460

Officer/Director/Trustee Four

RONALD ROBERTS
BOARD MEMBER
352 MORGAN CT
SALEM OH 44460

Officer/Director/Trustee Five

MADELINE PATTON SHIVERS
BOARD MEMBER
962 FAIR AVE
SALEM OH 44460

Organization’s website HTTPS://WWW.BURCHFIELDHOMESTEAD.COM/
Organization’s email FREDNARAGON@NEO.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/1993
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A51 - Art Museums
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 Yes
Correctness Declaration Yes
Signature Name FREDERIC NARAGON
Signature Title SECRETARY/TREASURER
Signature Date 7/3/2020

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