FORM 1023-EZ for BLADENSBURG COMMUNITY HERITAGE FOUNDATION INC

Field Data
EIN 81-1020031
Case Number EO-2016012-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLADENSBURG COMMUNITY HERITAGE FOUNDATION INC
Organization’s Mailing Address 3639 HENPECK RD PO BOX 86
City BLADENSBURG
State OH
ZIP 43005-0086
Accounting period End 6
Primary contact name KIMBERLY DAVIDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY DAVIDSON
PRESIDENT
3639 HENPECK RD
BLADENSBURG OH 43005-0086

Officer/Director/Trustee Two

RICHARD BARKER
SECRETARY/TREASURER
3639 HENPECK RD
BLADENSBURG OH 43005-0086

Officer/Director/Trustee Three

MARK RAMSER
VICE PRESIDENT
104 DUFF ST
GAMBIER OH 43022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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